Providence Medical Group Alaska | |
3200 Providence Dr Anchorage AK 99508-4615 | |
(907) 212-6002 | |
(907) 212-8340 |
Full Name | Providence Medical Group Alaska |
---|---|
Speciality | Internal Medicine |
Location | 3200 Providence Dr, Anchorage, Alaska |
Authorized Official Name and Position | Donald W Anderson (ASST SEC ENROLLMT/DIR REIMB ADMIN) |
Authorized Official Contact | 4255255392 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Providence Medical Group Alaska Po Box 4105 Portland OR 97208-4105 Ph: (866) 907-1068 | Providence Medical Group Alaska 3200 Providence Dr Anchorage AK 99508-4615 Ph: (907) 212-6002 |
NPI Number | 1093956278 |
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Provider Enumeration Date | 03/17/2009 |
Last Update Date | 03/07/2024 |
Certification Date | 03/07/2024 |
Medicare PECOS PAC ID | 1557408176 |
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Medicare Enrollment ID | O20091029000679 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093956278 | NPI | - | NPPES |
1020543 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
207RC0200X | Internal Medicine - Critical Care Medicine | (* (Not Available)) | Primary |
Provider Name | Gregory D Gerboth |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1407838170 PECOS PAC ID: 7214927516 Enrollment ID: I20040518000760 |
Provider Name | Robert L Mcalister |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003911058 PECOS PAC ID: 1759366503 Enrollment ID: I20040624000090 |
Provider Name | Sheryl A Lentfer |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1295745974 PECOS PAC ID: 2264484823 Enrollment ID: I20050211000670 |
Provider Name | William M Buttner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003893132 PECOS PAC ID: 8527020882 Enrollment ID: I20050225000563 |
Provider Name | Ronald L Healy |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1144329145 PECOS PAC ID: 5193762128 Enrollment ID: I20050823001158 |
Provider Name | Janel R Kam-magruder |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417968629 PECOS PAC ID: 5193740306 Enrollment ID: I20051006000803 |
Provider Name | Jean M Snyder |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518979426 PECOS PAC ID: 8123043973 Enrollment ID: I20051011000404 |
Provider Name | Dion M Roberts |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1992707723 PECOS PAC ID: 9032137278 Enrollment ID: I20051107000649 |
Provider Name | Matthew A Lindemann |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1376530170 PECOS PAC ID: 4789608027 Enrollment ID: I20060125000510 |
Provider Name | Julie L Wilson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427060078 PECOS PAC ID: 0143238956 Enrollment ID: I20060404000801 |
Provider Name | Paul A Peterson |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1053336354 PECOS PAC ID: 8123927936 Enrollment ID: I20060726000295 |
Provider Name | Jonathan P Casurella |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609959410 PECOS PAC ID: 9032127220 Enrollment ID: I20061103000307 |
Provider Name | Triin T Minton |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588747380 PECOS PAC ID: 9133127087 Enrollment ID: I20061201000279 |
Provider Name | Daron J Dykema |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720094220 PECOS PAC ID: 2365535333 Enrollment ID: I20070906000751 |
Provider Name | Tonya L Caylor |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932304367 PECOS PAC ID: 9830287713 Enrollment ID: I20071109000294 |
Provider Name | Marin C Granholm |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063633055 PECOS PAC ID: 0941382188 Enrollment ID: I20080128000435 |
Provider Name | Byron E Perkins |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558444349 PECOS PAC ID: 7517045420 Enrollment ID: I20080417000370 |
Provider Name | Lawrence J Smith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205890092 PECOS PAC ID: 7719921527 Enrollment ID: I20080714000692 |
Provider Name | Robert A Lada |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1982667101 PECOS PAC ID: 4385606177 Enrollment ID: I20081016000433 |
Provider Name | Christopher S Cornelius |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104923184 PECOS PAC ID: 1759436488 Enrollment ID: I20090902000320 |
Provider Name | Kristen L Solana Walkinshaw |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245337138 PECOS PAC ID: 5092856997 Enrollment ID: I20100113000712 |
Provider Name | Raymond C Pastorino |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1003828062 PECOS PAC ID: 3072794304 Enrollment ID: I20110221000317 |
Provider Name | Rebecca J Bingham |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093724270 PECOS PAC ID: 7416139530 Enrollment ID: I20110310000901 |
Provider Name | Thomas S Nighswander |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821080888 PECOS PAC ID: 7012199136 Enrollment ID: I20110310000957 |
Provider Name | Marianne Johnstone-petty |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871896894 PECOS PAC ID: 2567644453 Enrollment ID: I20110314001040 |
Provider Name | John Schwartz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225040157 PECOS PAC ID: 0941485262 Enrollment ID: I20110502000789 |
Provider Name | Kimberly Thomas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922234343 PECOS PAC ID: 0345395778 Enrollment ID: I20111028000644 |
Provider Name | Erica Coady |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1366759003 PECOS PAC ID: 3678769387 Enrollment ID: I20120118000648 |
Provider Name | Szilvia Salamon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437319522 PECOS PAC ID: 8426181058 Enrollment ID: I20120305000635 |
Provider Name | Nancy M Greenwell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932223047 PECOS PAC ID: 3870509169 Enrollment ID: I20120430000568 |
Provider Name | Heather Githens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104188093 PECOS PAC ID: 3577713197 Enrollment ID: I20121017000151 |
Provider Name | Juliana K Shields |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356578306 PECOS PAC ID: 0941450134 Enrollment ID: I20121024000521 |
Provider Name | Allene Marie Littell Whitney |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508949439 PECOS PAC ID: 5193753184 Enrollment ID: I20121219000544 |
Provider Name | Linda M Pope |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992880686 PECOS PAC ID: 4587850607 Enrollment ID: I20121228000182 |
Provider Name | Bette J Fenn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447283767 PECOS PAC ID: 6901041961 Enrollment ID: I20130321000337 |
Provider Name | Sarah L Dewane |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1093963183 PECOS PAC ID: 7517191802 Enrollment ID: I20130927000132 |
Provider Name | Kwanghee Kim |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851621064 PECOS PAC ID: 7719166073 Enrollment ID: I20131112001401 |
Provider Name | Sandra M Mitchell |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1235570979 PECOS PAC ID: 8123256161 Enrollment ID: I20140120000732 |
Provider Name | Tamara A Huntington |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700984275 PECOS PAC ID: 4486793825 Enrollment ID: I20140318000970 |
Provider Name | Amy Lynn Kolarova |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1922204817 PECOS PAC ID: 4385827534 Enrollment ID: I20140717002507 |
Provider Name | Cynthia Lynne Mcginty |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174821383 PECOS PAC ID: 0042496713 Enrollment ID: I20140718000521 |
Provider Name | Susan K Ryznar |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144221557 PECOS PAC ID: 8123077112 Enrollment ID: I20141029001005 |
Provider Name | Karen L Wilson |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1578543740 PECOS PAC ID: 2567693609 Enrollment ID: I20141201001696 |
Provider Name | Ursula A Mcveigh |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1063420503 PECOS PAC ID: 0345386868 Enrollment ID: I20150107001043 |
Provider Name | Barbara Piromalli |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770706848 PECOS PAC ID: 7315139508 Enrollment ID: I20150223001635 |
Provider Name | Johan M Lundebye |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336300383 PECOS PAC ID: 3476729526 Enrollment ID: I20150313002208 |
Provider Name | Virginia Parret |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1245589886 PECOS PAC ID: 4082932181 Enrollment ID: I20150422001244 |
Provider Name | Nicholas Flickinger |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1740544097 PECOS PAC ID: 5395999742 Enrollment ID: I20150803002849 |
Provider Name | Andrea Clark |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063775427 PECOS PAC ID: 0042464497 Enrollment ID: I20151006001352 |
Provider Name | Mackenzie C Slater |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730409418 PECOS PAC ID: 1254594815 Enrollment ID: I20151208001935 |
Provider Name | Julianne Minarik |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1720172471 PECOS PAC ID: 5294036349 Enrollment ID: I20151215002753 |
Provider Name | Cody M Augdahl |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801150974 PECOS PAC ID: 3971756438 Enrollment ID: I20151216002600 |
Provider Name | Donna Roxanne Jones |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649414137 PECOS PAC ID: 4082860655 Enrollment ID: I20151229001918 |
Provider Name | Ann Reed |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1982719530 PECOS PAC ID: 0446556559 Enrollment ID: I20160315001738 |
Provider Name | Rebecca Robinson |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1225498967 PECOS PAC ID: 6800193376 Enrollment ID: I20160328002252 |
Provider Name | Kelley Smart |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639419161 PECOS PAC ID: 4385934256 Enrollment ID: I20160606000506 |
Provider Name | Karyn Overturf |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518272913 PECOS PAC ID: 8921398454 Enrollment ID: I20160610001925 |
Provider Name | Katherine Paulick |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1679925325 PECOS PAC ID: 3779877881 Enrollment ID: I20160812001017 |
Provider Name | Jane Larouche |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1861794547 PECOS PAC ID: 1254651003 Enrollment ID: I20160817000695 |
Provider Name | Sarah Murphy |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528384146 PECOS PAC ID: 1153555842 Enrollment ID: I20161222000485 |
Provider Name | Diana V Seropian |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093251639 PECOS PAC ID: 3274816129 Enrollment ID: I20170220001492 |
Provider Name | Becky Pletzer |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487192464 PECOS PAC ID: 1951685932 Enrollment ID: I20170313001010 |
Provider Name | Roderic Smith |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1952362170 PECOS PAC ID: 0244509560 Enrollment ID: I20170629002808 |
Provider Name | Rachel Kerford Lescher |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1043480643 PECOS PAC ID: 7517138480 Enrollment ID: I20170706001025 |
Provider Name | Sarah A T Holsopple |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1942542030 PECOS PAC ID: 9234420209 Enrollment ID: I20170707002465 |
Provider Name | Corina F Hopkins-vacca |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073929758 PECOS PAC ID: 6608091749 Enrollment ID: I20170721001590 |
Provider Name | Megan M Young |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972923654 PECOS PAC ID: 2860617867 Enrollment ID: I20170721002161 |
Provider Name | David B Penn |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477968485 PECOS PAC ID: 9234354382 Enrollment ID: I20170728002203 |
Provider Name | Erica Ann Delsman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750657177 PECOS PAC ID: 7618265133 Enrollment ID: I20170731003601 |
Provider Name | Carolyn E Roloff |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1780003376 PECOS PAC ID: 7517188493 Enrollment ID: I20170828004312 |
Provider Name | Siv Fasci |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1588693717 PECOS PAC ID: 7517952062 Enrollment ID: I20170918003552 |
Provider Name | Denise W Lewis |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821154022 PECOS PAC ID: 8628344330 Enrollment ID: I20171025001259 |
Provider Name | James Thomas Barber |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1013903665 PECOS PAC ID: 8527132778 Enrollment ID: I20180420001430 |
Provider Name | Monica A Wright |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144616368 PECOS PAC ID: 7113230558 Enrollment ID: I20180814001484 |
Provider Name | Rebecca Rae Weicht |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1295091239 PECOS PAC ID: 7214167006 Enrollment ID: I20180814004342 |
Provider Name | Eric Dreibelbeis |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1518371210 PECOS PAC ID: 2264650878 Enrollment ID: I20180821004177 |
Provider Name | Candice M Schlafmann |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1235511296 PECOS PAC ID: 5799098505 Enrollment ID: I20180824002917 |
Provider Name | Traci Sickich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144707373 PECOS PAC ID: 2668723933 Enrollment ID: I20180925004064 |
Provider Name | Kaitlin Jean Rosales |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508237025 PECOS PAC ID: 5799085767 Enrollment ID: I20181015001951 |
Provider Name | M Jacqueline Tarsitano |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669853347 PECOS PAC ID: 5092068353 Enrollment ID: I20181102001504 |
Provider Name | Nicholas A Van Lith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720466949 PECOS PAC ID: 5294049243 Enrollment ID: I20190125002169 |
Provider Name | Jo-ann A Llaneza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275598484 PECOS PAC ID: 1153662101 Enrollment ID: I20190401002166 |
Provider Name | Paula Brooks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609326016 PECOS PAC ID: 8729360201 Enrollment ID: I20190507003256 |
Provider Name | Olivia Britton |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1033576665 PECOS PAC ID: 1951605153 Enrollment ID: I20190516002703 |
Provider Name | Lillian A Johnson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790163012 PECOS PAC ID: 8123331279 Enrollment ID: I20190614001151 |
Provider Name | Katelyn R Good |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1912311259 PECOS PAC ID: 7012131758 Enrollment ID: I20190928000090 |
Provider Name | Martin Glaves |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578911590 PECOS PAC ID: 2466746235 Enrollment ID: I20191010001225 |
Provider Name | Matthew Mark Huckabee |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1477934636 PECOS PAC ID: 6507113503 Enrollment ID: I20191028002134 |
Provider Name | George A Ford |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1750525713 PECOS PAC ID: 2466607098 Enrollment ID: I20200102000053 |
Provider Name | Elizabeth L Ohlsen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093249427 PECOS PAC ID: 8527337757 Enrollment ID: I20200701003465 |
Provider Name | Erik K Hauswald |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1760919377 PECOS PAC ID: 3577832708 Enrollment ID: I20200715000988 |
Provider Name | Stephanie S Fortt |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053844019 PECOS PAC ID: 0648695221 Enrollment ID: I20200729002844 |
Provider Name | Priya Keane |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023502606 PECOS PAC ID: 7113342288 Enrollment ID: I20200806000996 |
Provider Name | Robert A Wilkens |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639788896 PECOS PAC ID: 4385060755 Enrollment ID: I20200817000044 |
Provider Name | Jessica M Bauman |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1720698129 PECOS PAC ID: 3476970146 Enrollment ID: I20200826000895 |
Provider Name | Kimberly Stahlnecker |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1871034090 PECOS PAC ID: 6305263989 Enrollment ID: I20200827001353 |
Provider Name | Patricia Siza |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619168028 PECOS PAC ID: 4385913516 Enrollment ID: I20200904000538 |
Provider Name | Alyssa Rizzuto |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598291155 PECOS PAC ID: 7416226642 Enrollment ID: I20200908003140 |
Provider Name | Ryan Wallace |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1548695075 PECOS PAC ID: 2769703552 Enrollment ID: I20200917000602 |
Provider Name | Irisa Devine |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1437384583 PECOS PAC ID: 6002032935 Enrollment ID: I20200921000510 |
Provider Name | Chelsea R Campbell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669906095 PECOS PAC ID: 5799054623 Enrollment ID: I20200921001364 |
Provider Name | Luigia Rosella Goodman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205306420 PECOS PAC ID: 8224457353 Enrollment ID: I20200923001570 |
Provider Name | Ryan Mcclaine |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710411517 PECOS PAC ID: 2264701366 Enrollment ID: I20200929001450 |
Provider Name | Michael Malandra |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1972829356 PECOS PAC ID: 7416195839 Enrollment ID: I20200930001741 |
Provider Name | Sheila J Miller |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811320765 PECOS PAC ID: 9234408451 Enrollment ID: I20201001002227 |
Provider Name | Mackenzie E Reminger-carpenter |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225441900 PECOS PAC ID: 5698044824 Enrollment ID: I20201020000620 |
Provider Name | Kayla Zarnowski |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1326609959 PECOS PAC ID: 6901216076 Enrollment ID: I20201030000433 |
Provider Name | Sarah J Virnig |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487180774 PECOS PAC ID: 3476822610 Enrollment ID: I20201123001432 |
Provider Name | Heather Anne Bell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477160240 PECOS PAC ID: 6406267327 Enrollment ID: I20201125002390 |
Provider Name | Honglu Liu |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336743772 PECOS PAC ID: 2860803590 Enrollment ID: I20201201001285 |
Provider Name | Rebecca H Coffin |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1598360422 PECOS PAC ID: 7012329451 Enrollment ID: I20201209001286 |
Provider Name | Laurie Minarich |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1104950708 PECOS PAC ID: 0941450928 Enrollment ID: I20201223000368 |
Provider Name | Stephen Wong |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1922419993 PECOS PAC ID: 6901233998 Enrollment ID: I20210118000535 |
Provider Name | Sarah Baxter |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1720405285 PECOS PAC ID: 6608195813 Enrollment ID: I20210119002453 |
Provider Name | Nicolas Cuttriss |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1386890135 PECOS PAC ID: 0840517231 Enrollment ID: I20210201000378 |
Provider Name | David John Paulson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477148997 PECOS PAC ID: 8527474634 Enrollment ID: I20210315000995 |
Provider Name | Valerie Jones |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1912195603 PECOS PAC ID: 3678796752 Enrollment ID: I20210316002564 |
Provider Name | Taro Satake |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033598875 PECOS PAC ID: 7810246311 Enrollment ID: I20210326001718 |
Provider Name | Martha Pearl Johnson |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1871913376 PECOS PAC ID: 7618376393 Enrollment ID: I20210529000008 |
Provider Name | Erin Parnell Carter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265023485 PECOS PAC ID: 1759780125 Enrollment ID: I20210604002047 |
Provider Name | Jered Jacob Weinstock |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1952750572 PECOS PAC ID: 3375943467 Enrollment ID: I20210610002497 |
Provider Name | Kala Maus |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699264903 PECOS PAC ID: 3971851510 Enrollment ID: I20210615003463 |
Provider Name | Seth Bricklin |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1992859003 PECOS PAC ID: 2466491535 Enrollment ID: I20210712001851 |
Provider Name | Elizabeth S Pietralczyk |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548466014 PECOS PAC ID: 3971799941 Enrollment ID: I20210719002878 |
Provider Name | Alyssa M Hernandez Ferrer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619548997 PECOS PAC ID: 0042613366 Enrollment ID: I20210723003153 |
Provider Name | Julia Daher |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1578826848 PECOS PAC ID: 7810211851 Enrollment ID: I20210728003233 |
Provider Name | Racheal Ann Hart |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1093027229 PECOS PAC ID: 6608270434 Enrollment ID: I20210802001403 |
Provider Name | Karyn M Joseph |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1467061812 PECOS PAC ID: 1759785389 Enrollment ID: I20210804002140 |
Provider Name | Christina Rodriguez |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1255621165 PECOS PAC ID: 7416189139 Enrollment ID: I20210820001739 |
Provider Name | Susan M Halbach |
---|---|
Provider Type | Practitioner - Other (physician) |
Provider Identifiers | NPI Number: 1225148539 PECOS PAC ID: 1052507878 Enrollment ID: I20210825000088 |
Provider Name | Jennifer Armentrout |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780945485 PECOS PAC ID: 9335545359 Enrollment ID: I20210831000532 |
Provider Name | Brianna L Goz |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326718982 PECOS PAC ID: 8628475407 Enrollment ID: I20210921002199 |
Provider Name | Michelle Haimowitz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275775496 PECOS PAC ID: 0345425443 Enrollment ID: I20211013001333 |
Provider Name | Taylor Swezy |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1467987826 PECOS PAC ID: 4385042696 Enrollment ID: I20211018000084 |
Provider Name | Ceridwyn Creswell |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720543010 PECOS PAC ID: 5294123964 Enrollment ID: I20211028003223 |
Provider Name | Patrice Stevenson |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1093767170 PECOS PAC ID: 6406848035 Enrollment ID: I20211215001977 |
Provider Name | Marietta Virginia Phillips |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1295886794 PECOS PAC ID: 2567853658 Enrollment ID: I20211228001265 |
Provider Name | Stacy R Wright |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538593470 PECOS PAC ID: 0143454066 Enrollment ID: I20220203002334 |
Provider Name | Rebekah Telfer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437627825 PECOS PAC ID: 2567709892 Enrollment ID: I20220214001166 |
Provider Name | Valerie M Erickson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033480249 PECOS PAC ID: 1052705456 Enrollment ID: I20220301001710 |
Provider Name | Samantha Fox |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1972265577 PECOS PAC ID: 5991199937 Enrollment ID: I20220308001610 |
Provider Name | Laura K Kompkoff |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1962477398 PECOS PAC ID: 4587683883 Enrollment ID: I20220408001175 |
Provider Name | Elisa Lopez Martinez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508381450 PECOS PAC ID: 9931595394 Enrollment ID: I20220412000451 |
Provider Name | Judith A Farrer |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639829542 PECOS PAC ID: 5395132583 Enrollment ID: I20220418000663 |
Provider Name | Kelly Yuhnke |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053958637 PECOS PAC ID: 3173910494 Enrollment ID: I20220504002712 |
Provider Name | Yukiko Kobayashi Goodell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598378705 PECOS PAC ID: 8921486762 Enrollment ID: I20220607000565 |
Provider Name | Joseph C Kolba |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386207389 PECOS PAC ID: 6507192978 Enrollment ID: I20220620001560 |
Provider Name | Matthew Dawson |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1003159021 PECOS PAC ID: 9638475122 Enrollment ID: I20220621003074 |
Provider Name | Amber Leigh Ellis |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1083756357 PECOS PAC ID: 7517348360 Enrollment ID: I20220726000088 |
Provider Name | Dana Damron |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1093826828 PECOS PAC ID: 8921015363 Enrollment ID: I20220727004040 |
Provider Name | Nathan Armerding |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104260496 PECOS PAC ID: 6002195849 Enrollment ID: I20220728001687 |
Provider Name | Kabita Nanda |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1780818518 PECOS PAC ID: 9537213061 Enrollment ID: I20220805000403 |
Provider Name | Madeline Kathleen Haff |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265949119 PECOS PAC ID: 5395127351 Enrollment ID: I20220808001336 |
Provider Name | Wezzie Damalis Munthali |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487386462 PECOS PAC ID: 0143603662 Enrollment ID: I20220816003666 |
Provider Name | Hayley F Neptune |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1114652740 PECOS PAC ID: 9931582475 Enrollment ID: I20220817000881 |
Provider Name | Raymond Villalobos |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1376580597 PECOS PAC ID: 2365481694 Enrollment ID: I20220830003322 |
Provider Name | Chelsea Phelps |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720580202 PECOS PAC ID: 2860746682 Enrollment ID: I20221208002500 |
Provider Name | Gregory E Lebleu |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1033288006 PECOS PAC ID: 7911082649 Enrollment ID: I20230105002515 |
Provider Name | Lily M George |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245903962 PECOS PAC ID: 6608274782 Enrollment ID: I20230203000424 |
Provider Name | Emily Ryan-michailidis |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1073045274 PECOS PAC ID: 4587904164 Enrollment ID: I20230213002032 |
Provider Name | Ellen Brown |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1710109699 PECOS PAC ID: 4587683784 Enrollment ID: I20230215002395 |
Provider Name | Carrie Lynne Gray |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568731511 PECOS PAC ID: 6507239563 Enrollment ID: I20230222002595 |
Provider Name | Umran Senyer |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1477937688 PECOS PAC ID: 9032515150 Enrollment ID: I20230301002128 |
Provider Name | Richard Parker |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477698918 PECOS PAC ID: 0941289433 Enrollment ID: I20230418002448 |
Provider Name | Megan Dempster |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1972858256 PECOS PAC ID: 3072767839 Enrollment ID: I20230420000746 |
Provider Name | Emily Atton |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1588182745 PECOS PAC ID: 4183089758 Enrollment ID: I20230503003529 |
Provider Name | Michelle Barton Laufer |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1124269790 PECOS PAC ID: 6103282702 Enrollment ID: I20230524003158 |
Provider Name | Maria Regina Reyes |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1437235181 PECOS PAC ID: 2961398912 Enrollment ID: I20230627000225 |
Provider Name | Paul Nutter |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1629020847 PECOS PAC ID: 4880686419 Enrollment ID: I20230721001591 |
Provider Name | Seth Workentine |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164043014 PECOS PAC ID: 1456776954 Enrollment ID: I20230726001633 |
Provider Name | Chrystal Bermudez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841440583 PECOS PAC ID: 1557535432 Enrollment ID: I20230727002914 |
Provider Name | Maegan E Lange |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811518897 PECOS PAC ID: 7113340183 Enrollment ID: I20230801003805 |
Provider Name | Luanna Beauchamp |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1740224286 PECOS PAC ID: 0749211720 Enrollment ID: I20230808000343 |
Provider Name | David Mendez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194188359 PECOS PAC ID: 2769774470 Enrollment ID: I20230816002942 |
Provider Name | Genevieve Jacobs |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1912369992 PECOS PAC ID: 0042582553 Enrollment ID: I20230825001942 |
Provider Name | Sarah Liebe |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407581184 PECOS PAC ID: 6709249238 Enrollment ID: I20230830002850 |
Provider Name | Rosina Serene Perkins |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1588841522 PECOS PAC ID: 1850467069 Enrollment ID: I20230912000358 |
Provider Name | James Barry Hedgecock |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194144899 PECOS PAC ID: 8527412790 Enrollment ID: I20230922000394 |
Provider Name | Mary Sarrantonio |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1396736476 PECOS PAC ID: 5395149819 Enrollment ID: I20231003001853 |
Provider Name | Reeve Geiger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447915798 PECOS PAC ID: 9537552955 Enrollment ID: I20231017001470 |
Provider Name | Anthony Markuson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326538331 PECOS PAC ID: 7517215072 Enrollment ID: I20231020000143 |
Provider Name | Erin Balay-dustrude |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1649796756 PECOS PAC ID: 1759711302 Enrollment ID: I20231218001574 |
Provider Name | David A Schaeffer |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1578679494 PECOS PAC ID: 2264575190 Enrollment ID: I20240118004342 |
Provider Name | Cyndi S Mendoza |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1467063545 PECOS PAC ID: 9234575770 Enrollment ID: I20240307000568 |
Provider Name | Valerie Brooke |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1841599305 PECOS PAC ID: 6305166687 Enrollment ID: I20240329002608 |
Provider Name | Abigail Klager |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1023496346 PECOS PAC ID: 8628381514 Enrollment ID: I20240429002167 |
Provider Name | Lindsey Migliore |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1629430475 PECOS PAC ID: 2567885627 Enrollment ID: I20240502003436 |
Provider Name | Betty K Anderson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942889613 PECOS PAC ID: 3870995335 Enrollment ID: I20240516001943 |
Provider Name | Mckenzie Stock |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225681786 PECOS PAC ID: 7214479088 Enrollment ID: I20240607001798 |
Compass Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1236 G St, Anchorage, AK 99501 Phone: 907-317-7136 | |
Buckingham Psychological Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2401 E 42nd Ave Ste 306, Anchorage, AK 99508 Phone: 907-744-1882 | |
Jillanne Garrity Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8721 Kathleen Dr, Anchorage, AK 99502 Phone: 907-312-4448 | |
Angela Khessed Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 N St Ste 102, Anchorage, AK 99501 Phone: 907-312-5564 | |
Frontier Health Services, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4241 B Street, Suite 305, Anchorage, AK 99503 Phone: 907-222-6688 Fax: 800-556-6916 | |
Building Blocks Academy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3327 Fairbanks St, Anchorage, AK 99503 Phone: 907-331-8598 | |
Volunteers Of America Alaska, Russian Jack Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4300 E 20th Ave, Anchorage, AK 99508 Phone: 907-279-9640 |