White Spruce Medical, LLC
NPI 1811521552ActiveOrganization· Internal Medicine· Fairbanks, AK
Internal Medicine in Fairbanks, Alaska, registered in NPPES in March 2020. The authorized official on file is Audrey Stack, Office Manager.
Overview
| NPI | 1811521552 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 2, 2020 |
| Last updated in NPPES | Mar 2, 2020 |
| Certified by provider | Mar 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Naturopath | 175F00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Internal Medicine providers in Fairbanks
- 1649314071
- 1023113461
- 1053349654
- 1497864524
- 1760665012
- 1417133323
- 1487479713
- 1760077747
- 1104269216
- 1962907253
- 1104964527
- 1598227894