Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fairbanks Surgery, LLC

Organization Surgery Physician · NPI 1790017291

Fairbanks Surgery, LLC is a Surgery Physician in Fairbanks, Alaska. Licensed in Alaska. Registered with an NPI since 2010.

Licensed in
AK
In the registry since
2010
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1919 Lathrop St Ste 204
Fairbanks, AK 99701-5942
Phone: (907) 452-8151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD1335 (AK)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence MD1335 (AK)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence MD1335 (AK)

Record details

NPI number1790017291
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Montano — Officer · (907) 452-8151
NPI enumeratedFebruary 8, 2010
Last updated in NPPESDecember 17, 2010
Mailing address1919 Lathrop St Ste 204, Fairbanks, AK 99701-5942

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