Anchorage Bariatrics, LLC
NPI 1174076822ActiveOrganization· Surgery· Anchorage, AK
Surgery in Anchorage, Alaska, registered in NPPES in July 2016. The authorized official on file is Justin Clark, MD, Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174076822 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 29, 2016 |
| Last updated in NPPES | Nov 5, 2024 |
| Certified by provider | Nov 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 1033013 | AK |
| Clinic/Center, Adult Mental Health | 261QM0850X | — | — |
| Clinic/Center, Adolescent and Children Mental Health | 261QM0855X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AK) |
|---|
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