Jordan Fried, | |
5955 Zeamer Ave, Jber, AK 99506-3702 | |
(907) 580-1820 | |
Not Available |
Full Name | Jordan Fried |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 5955 Zeamer Ave, Jber, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1679929624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 169123 (Alaska) | Primary |
Entity Name | Providence Anchorage Anesthesia Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659368397 PECOS PAC ID: 2163414830 Enrollment ID: O20040401000952 |
Entity Name | Chugach Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093712358 PECOS PAC ID: 2961465653 Enrollment ID: O20041109001035 |
Mailing Address | Practice Location Address |
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Jordan Fried, 5955 Zeamer Ave, Jber, AK 99506-3702 Ph: (907) 580-1820 | Jordan Fried, 5955 Zeamer Ave, Jber, AK 99506-3702 Ph: (907) 580-1820 |
Christopher Cowley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5955 Zeamer Ave, 673 Mdg, Jber, AK 99506 Phone: 907-580-1815 | |
Daniel Thomas Perez, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5955 Zeamer Ave, Jber, AK 99506 Phone: 907-580-1825 | |
Mr. David L Johnson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 Phone: 907-580-1815 | |
Carolyn N Lee, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 Phone: 907-580-1815 | |
Dr. Thomas Guy Fevurly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5955 Zeamer Ave, 673d Mdg / Sgcs / Sgcj, Jber, AK 99506 Phone: 907-580-1815 Fax: 907-580-5524 | |
Teresa R Sellers, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5955 Zeamer Ave, 673 Mdg, Jber, AK 99506 Phone: 907-580-1815 |