Provider Demographics
NPI:1285058818
Name:ALASKA ANESTHESIA LLC
Entity type:Organization
Organization Name:ALASKA ANESTHESIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:907-770-9600
Mailing Address - Street 1:9641 ALBATROSS DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99502-1684
Mailing Address - Country:US
Mailing Address - Phone:907-770-9600
Mailing Address - Fax:907-770-9072
Practice Address - Street 1:9641 ALBATROSS DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99502-1684
Practice Address - Country:US
Practice Address - Phone:907-770-9600
Practice Address - Fax:907-770-9072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-18
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK958995207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty