Active NPIIndividual provider

Justin Carricaburu, MD

Family Medicine in Anchorage, Alaska

NPI Number1194847186
Practice location
1201 E 36TH Ave, Anchorage, AK 99508-4372
Fax
907-565-6592
Last updated
October 5, 2021

Justin Carricaburu is a Family Medicine based in Anchorage, AK. Justin Carricaburu practices in Anchorage, AK and has the professional credentials of MD. The NPI Number for Justin Carricaburu is 1194847186 and holds a License No. 288087 (MA). The current practice location address for Justin Carricaburu is 1201 E 36TH Ave, Anchorage, AK 99508-4372 and can be reached out via phone at 907-565-6522 and via fax at 907-565-6592.

Provider Profile Details

NPI Number
1194847186
Provider Name
Justin Carricaburu
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1201 E 36TH Ave, Anchorage, AK 99508-4372
Phone Number
907-565-6522
Fax Number
907-565-6592
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
April 3, 2007
Last Update Date
October 5, 2021
Certification Date
October 5, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1201 E 36TH Ave
Anchorage, AK 99508-4372
State
Alaska
Zip
99508-4372
Phone Number
907-565-6522
Fax Number
907-565-6592
Anchorage, AK 99508Get directions →

Provider Business Mailing Address Details

Address
195 Canal St
Malden, MA 02148-6701
City
Malden
State
MA
Zip
02148-6701
Phone Number
781-338-0500
Fax Number
781-338-0000

License Information

License Number (1)
288087
License State (1)
MA
Taxonomy (1)
Family Medicine · 207Q00000X · Primary
License Number (2)
6718
License State (2)
AK
Taxonomy (2)
Family Medicine · 207Q00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Justin Carricaburu, MD?

The NPI number of Justin Carricaburu, MD is 1194847186. It was assigned on April 3, 2007 and is currently active in the NPPES registry.

What is the specialty of Justin Carricaburu, MD?

Justin Carricaburu, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 288087.

Where does Justin Carricaburu, MD practice?

The practice location is 1201 E 36TH Ave, Anchorage, AK 99508-4372. The office can be reached at 907-565-6522 (phone) or 907-565-6592 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194847186 directly on the NPPES registry website.

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