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NPI · 1407304017 · NPPES-sourced

Mckinley Sports Medicine, LLC

ActiveSports Medicine (Family Medicine) Physician
NPI Number
1407304017
Type 2 · Organisation
Contact
(907) 456-3341
License AK · 10040231
Last Updated
Enumerated
Primary practice addressAK · 99709-3554
3745 Geist RdFairbanks, AK 99709-3554
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About this NPIWhat this record shows.

NPI 1407304017 is registered to Mckinley Sports Medicine, LLC, a healthcare organisation classified as "Sports Medicine (Family Medicine) Physician" and located at 3745 Geist Rd in Fairbanks, Alaska. The organisation's authorised official is Jennifer Malcolm. The organisation has been enumerated in the NPI registry since 2016.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mckinley Sports Medicine, LLC accepts. To confirm in-network status with your specific health plan, contact Mckinley Sports Medicine, LLC directly at (907) 456-3341.

Frequently asked

Yes. NPI 1407304017 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Sports Medicine (Family Medicine) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (907) 456-3341.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mckinley Sports Medicine, LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207QS0010X
Last updated
Enumerated
StatusActive
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