ALASKA FACIAL PLASTIC SURGERY & ENT – NPI #1114548351
Otolaryngology

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

ALASKA FACIAL PLASTIC SURGERY & ENT is an otolaryngologist located in WASILLA, AK. NPPES has assigned the NPI number 1114548351 to ALASKA FACIAL PLASTIC SURGERY & ENT on April 28, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207YX0905X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery

The NPI profile was last updated on Jul 22, 2025. 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 FACIAL PLASTIC SURGERY & ENT below.

NPI Profile for
ALASKA FACIAL PLASTIC SURGERY & ENT

NPI Number
1114548351
Enumeration Date

(more than 6 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 FACIAL PLASTIC SURGERY & ENT
Primary location
3719 E MERIDIAN LOOP STE E
WASILLA, AK 99654-7273
Phone: (907) 522-3006 Fax:
1 Other location(s):
3340 Providence Dr # A363
Anchorage, AK 99508-4691
Phone: (907) 671-6017
Fax: (907) 313-6857
Mailing address
PO BOX 75045
CHICAGO, IL 60675-5045
Phone: (907) 600-0030 Fax: (907) 206-7153
Organization Subpart
No
Authorized Official
CHRISTINA MAGILL
PRESIDENT
Phone: (314) 422-9716
Updated
Certification Date
Jul 22, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207YX0905X
- Otolaryngology / Otolaryngology/Facial Plastic Surgery (Primary)

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
DIRECT MESSAGE SYSTEM
Content Type
OTHER
Affiliation
N
Endpoint Location
3719 E MERIDIAN LOOP STE E,
WASILLA, AK 77025-1669