| Pioneer Gi Clinic, Apc | |
|
1200 Airport Heights Dr Ste 210 Anchorage AK 99508-2965 | |
| (907) 562-6001 | |
| (907) 562-6002 |
| Full Name | Pioneer Gi Clinic, Apc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1200 Airport Heights Dr, Anchorage, Alaska |
| Authorized Official Name and Position | Ajay Pabby (PRESIDENT) |
| Authorized Official Contact | 5098187500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Gi Clinic, Apc 1200 Airport Heights Dr Ste. 210 Anchorage AK 99508-2965 Ph: (907) 562-6001 | Pioneer Gi Clinic, Apc 1200 Airport Heights Dr Ste 210 Anchorage AK 99508-2965 Ph: (907) 562-6001 |
| NPI Number | 1649457581 |
|---|---|
| Provider Enumeration Date | 01/23/2008 |
| Last Update Date | 05/13/2022 |
| Medicare PECOS PAC ID | 1759466964 |
|---|---|
| Medicare Enrollment ID | O20080312000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649457581 | NPI | - | NPPES |
| MDG033 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 6191 (Alaska) | Primary |
| Provider Name | Ajay Pabby |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205929163 PECOS PAC ID: 4486757051 Enrollment ID: I20210611000840 |
| Provider Name | Nicolas Villa Guillen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265696553 PECOS PAC ID: 7113148651 Enrollment ID: I20210929002489 |
| Provider Name | Miguel Enrique Ordonez Castellanos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013168392 PECOS PAC ID: 6204073877 Enrollment ID: I20220216002603 |
| Provider Name | Mariajose Rojas De Leon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902113830 PECOS PAC ID: 1153641766 Enrollment ID: I20240125004840 |
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