Provider Demographics
NPI:1306898705
Name:PRICE, JAMES H JR (DO)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:H
Last Name:PRICE
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 S. COLONY WAY STE. 3
Mailing Address - Street 2:PMB 111
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645
Mailing Address - Country:US
Mailing Address - Phone:307-760-9532
Mailing Address - Fax:
Practice Address - Street 1:1901 N HEMMER RD STE 111
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-9690
Practice Address - Country:US
Practice Address - Phone:907-745-8000
Practice Address - Fax:907-745-8011
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK4221207L00000X, 207LP2900X
WY1336207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK020257499OtherGROUPS ENERGY EMP#
AK1008843Medicaid
AK193975000OtherGROUPS FED DOL#
AKP00133765OtherPRICE RAILROAD MCR#
AKCI9459OtherGROUPS RAILROAD MCR#
AKMDG417Medicaid
AKP00133765OtherPRICE RAILROAD MCR#
AKMD0638Medicaid
AK020257499OtherGROUPS ENERGY EMP#
G83176Medicare UPIN