OrganizationActive
Providence Health & Services- Washington
NPI 1093956278 · Critical Care Medicine (Internal Medicine) Physician · Anchorage, AK
Provider details
- NPI number
- 1093956278
- Entity type
- Organization
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3200 Providence Dr
Anchorage, AK 99508-4615
Phone: (907) 212-6002
Fax: (907) 212-8340
Street-level locationGet directions
Mailing address
Po Box 31001-4162
Pasadena, CA 91110-4162
Other names (DBA / former)
- Doing business as
- Providence Medical Group Alaska
- Doing business as
- Providence Medical Group Alaska
Registry dates
- Enumerated
- 2009-03-17
- Last updated
- 2025-08-18
- Certified
- 2025-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.