GOLD STAR LONGEVITY & WELLNESS LLC
NPI 1427532613
Family Medicine in Fairbanks, AK
NPI Status: Active since September 24, 2018
Contact Information
751 OLD RICHARDSON HWY STE 200
FAIRBANKS, AK
ZIP 99701
Phone: (907) 457-9420
Fax: (907) 457-1098
- Organization
- Family Medicine
- Accepts Insurance
- CLIA Number: 02D2167773
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-11-2026
About GOLD STAR LONGEVITY & WELLNESS LLC
This page provides the complete NPI Profile along with additional information for Gold Star Longevity & Wellness Llc, a primary care provider established in Fairbanks, Alaska operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1427532613 assigned on September 2018. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Gold Star Longevity & Wellness Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Russell Scott Pierce Md (Owner, M.d.)
- NPI
- 1427532613
- Provider Name
- GOLD STAR LONGEVITY & WELLNESS LLC
- Entity Type
- Organization
- Location Address
- 751 OLD RICHARDSON HWY STE 200 FAIRBANKS, AK 99701
- Location Phone
- (907) 457-9420
- Location Fax
- (907) 457-1098
- Mailing Address
- 751 OLD RICHARDSON HWY STE 200 FAIRBANKS, AK 99701
- Mailing Phone
- (907) 457-9420
- Mailing Fax
- (907) 457-1098
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-24-2018
- Last Update Date
- 05-11-2021
- Code Navigator
A primary care provider (PCP) like Gold Star Longevity & Wellness Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 2 | 363LC1500X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 3 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 4 | 363LG0600X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 5 | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 6 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 7 | 363LP2300X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Pioneer Alaska Standard Bronze - PPO
- Moda Pioneer Alaska Standard Gold - PPO
- Moda Pioneer Alaska Standard Silver - PPO
- Moda Pioneer Bronze 6500 - PPO
- Moda Pioneer Bronze HDHP 5500 - PPO
- Moda Pioneer Gold 1500 - PPO
- Moda Pioneer Silver 4500 - PPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 02D2167773
- Facility Type
- Physician Office
- Certificate Effective Date
- September 12, 2024
- Certificate Expiration Date
- September 11, 2026
- Laboratory Director
- DR. RUSSELL S. PIERCE
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Gold Star Longevity & Wellness Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 5 | 3 | 2 | 6 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 10 | 3 | 4 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 1 + 0 + 3 + 4 + 6 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1427532613 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1578148284 | TEAL VINGER Individual | Nurse Practitioner (Family) | 751 OLD RICHARDSON HWY STE 200 FAIRBANKS, AK 99701 (907) 457-9420 |
| 1093092116 | DR. RUSSELL SCOTT PIERCE M.D. Individual | Family Medicine | 751 OLD RICHARDSON HWY STE 200 FAIRBANKS, AK 99701 (907) 457-9420 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427532613, enumerated in the NPI registry as an "organization" on September 24, 2018
The provider is located at 751 Old Richardson Hwy Ste 200 Fairbanks, Ak 99701 and the phone number is (907) 457-9420
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Moda Health Plan, Inc. and Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 02D2167773 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on September 24, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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