OrganizationActive
Southcentral Foundation
NPI 1710293006 · General Practice Physician · Anchorage, AK
Provider details
- NPI number
- 1710293006
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Southcentral Foundation
- Organization subpart
- Yes
- Authorized official
- Ronald Olson, Executive Vice President Finance(907) 729-4939
- License
- 20467 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
4501 Diplomacy Dr
Anchorage, AK 99508-5919
Phone: (907) 729-4955
Street-level locationGet directions
Mailing address
Po Box 35198
Seattle, WA 98124-5198
Other names (DBA / former)
- Doing business as
- Hpg - Physician Home Visit
Registry dates
- Enumerated
- 2010-08-24
- Last updated
- 2023-09-14
- Certified
- 2023-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.