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

Mr. Samuel Deblauw, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1679970768

Mr. Samuel Deblauw, PHYSICIANASSISTANT is a Physician Assistant in Fairbanks, Alaska. Qualified in 2014, 12 years ago. Practices with Tanana Chiefs Conference, a 149-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
12
Licensed in
AK
In the registry since
2014
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Practice location Address checks out

1717 W Cowles St
Fairbanks, AK 99701-5926
Phone: (907) 451-6682
Fax: (907) 459-3811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1234 (AK)

Record details

NPI number1679970768
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedDecember 4, 2014
Last updated in NPPESJune 25, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Tanana Chiefs Conference — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fairbanks