Provider Demographics
NPI:1316335235
Name:SCHRANZ, PAUL ALLEN (PA-C)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:ALLEN
Last Name:SCHRANZ
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1363 W SPRUCE AVE
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-5327
Mailing Address - Country:US
Mailing Address - Phone:907-376-2411
Mailing Address - Fax:907-352-3373
Practice Address - Street 1:3261 S BIG LAKE RD
Practice Address - Street 2:
Practice Address - City:BIG LAKE
Practice Address - State:AK
Practice Address - Zip Code:99623-9663
Practice Address - Country:US
Practice Address - Phone:073-762-4119
Practice Address - Fax:907-352-3301
Is Sole Proprietor?:No
Enumeration Date:2014-12-30
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK2384363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1626797Medicaid
AK1219OtherPROFESSIONAL LICENSE