Provider Demographics
NPI:1245284470
Name:DENALI ORTHOPEDIC SURGERY, P.C.
Entity type:Organization
Organization Name:DENALI ORTHOPEDIC SURGERY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:STROHMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:907-745-2663
Mailing Address - Street 1:2490 S WOODWORTH LOOP
Mailing Address - Street 2:SUITE 350
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-7411
Mailing Address - Country:US
Mailing Address - Phone:907-745-2663
Mailing Address - Fax:907-745-2600
Practice Address - Street 1:2490 S WOODWORTH LOOP
Practice Address - Street 2:SUITE 350
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-7411
Practice Address - Country:US
Practice Address - Phone:907-745-2663
Practice Address - Fax:907-745-2600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK144279207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKCS1842OtherRAILROAD MEDICARE
AKMDG442Medicaid
AK0526480001Medicare NSC
AKMDG442Medicaid