Alaska Center For Pediatrics, Llc | |
2925 Debarr Rd Suite 230 Anchorage AK 99508-2959 | |
(907) 777-1800 | |
(907) 278-2066 |
Full Name | Alaska Center For Pediatrics, Llc |
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Speciality | Clinic/Center |
Location | 2925 Debarr Rd, Anchorage, Alaska |
Authorized Official Name and Position | Leigh Ann Woodard (ADMINISTRATOR) |
Authorized Official Contact | 9077771800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alaska Center For Pediatrics, Llc 2925 Debarr Rd Suite 230 Anchorage AK 99508-2959 Ph: (907) 777-1800 | Alaska Center For Pediatrics, Llc 2925 Debarr Rd Suite 230 Anchorage AK 99508-2959 Ph: (907) 777-1800 |
NPI Number | 1659581635 |
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Provider Enumeration Date | 05/22/2007 |
Last Update Date | 07/26/2019 |
Medicare PECOS PAC ID | 9537592282 |
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Medicare Enrollment ID | O20191210002945 |
Identifier | Type | State | Issuer |
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1659581635 | NPI | - | NPPES |
1004399 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Julie L Robinson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790872166 PECOS PAC ID: 9133118276 Enrollment ID: I20040512000497 |
Provider Name | James R Lord |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659300176 PECOS PAC ID: 3375549157 Enrollment ID: I20061018000704 |
Provider Name | Michael S Reeves |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316019474 PECOS PAC ID: 9032139670 Enrollment ID: I20061208000318 |
Provider Name | Ray Lorin Robinson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306953880 PECOS PAC ID: 3173541885 Enrollment ID: I20070209000046 |
Provider Name | Jeffrey David Kim |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659496339 PECOS PAC ID: 2668579756 Enrollment ID: I20080102000349 |
Provider Name | Lisbeth K Berge |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1992773691 PECOS PAC ID: 6002999729 Enrollment ID: I20080218000604 |
Provider Name | Timothy D Coalwell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932271152 PECOS PAC ID: 8022299163 Enrollment ID: I20110223000531 |
Provider Name | Stacey M Nieder |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013989797 PECOS PAC ID: 3577452077 Enrollment ID: I20110311000307 |
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