ALASKA KIDNEY & DIABETES ASSOCIATION – NPI #1619935558
Internal Medicine

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

ALASKA KIDNEY & DIABETES ASSOCIATION is a provider located in ANCHORAGE, AK. NPPES has assigned the NPI number 1619935558 to ALASKA KIDNEY & DIABETES ASSOCIATION on May 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. ALASKA KIDNEY & DIABETES ASSOCIATION is also known by the name BONGO MEDICAL. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

The NPI profile was previously updated about 13 years ago on Jan 03, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALASKA KIDNEY & DIABETES ASSOCIATION below.

NPI Profile for
ALASKA KIDNEY & DIABETES ASSOCIATION

NPI Number
1619935558
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALASKA KIDNEY & DIABETES ASSOCIATION
Other Name: BONGO MEDICAL
Primary location
3260 PROVIDENCE DR
#523
ANCHORAGE, AK 99508-4608
Phone: (907) 569-1049 Fax: (907) 563-4564
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LESLIE GLASGOW
CEO
Phone: (907) 569-1049
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary)
207RN0300X
- Internal Medicine / Nephrology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.