Provider Demographics
NPI:1073691283
Name:ROBERT E GIERINGER MD A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:ROBERT E GIERINGER MD A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:GIERINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:907-563-3232
Mailing Address - Street 1:2751 DEBARR RD
Mailing Address - Street 2:STE 320
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-2952
Mailing Address - Country:US
Mailing Address - Phone:907-563-3232
Mailing Address - Fax:907-563-7808
Practice Address - Street 1:2751 DEBARR RD
Practice Address - Street 2:STE 320
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-2952
Practice Address - Country:US
Practice Address - Phone:907-563-3232
Practice Address - Fax:907-563-7808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK151782Medicare PIN