ARCTIC AURORA, LLC (NPI# 1073130415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073130415 |
| Entity Type | Organization |
| Organization Name | ARCTIC AURORA, LLC |
| Practice Address |
701 E Tudor Rd Ste 140 Anchorage AK 99503-7459 |
| Mailing Address |
Po Box 241769 Anchorage AK 99524-1769 |
| Practice Telephone | 9076461009 |
| Mailing Telephone | 9077702380 |
| Mailing Fax Number | 9077702341 |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | DR. BETH A BAKER (OWNER / PHYSICIAN) |
| Authorized Official Telephone | 9073514232 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD18631 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 25344 Crystal Creek Dr, Eagle River, AK 995779614 | 9076946347 |
| Street Address |
701 E TUDOR RD STE 140 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99503-7459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020772 | Miladis Mcduffie | Massage Therapist | 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 | 2020-10-15 |
| 1447804984 | Bethany Lynn Becker | Optometrist | 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 | 2019-08-01 |
| 1265084933 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2920 Seward Hwy, Anchorage, AK 99503 | 2019-07-12 |
| 1982268942 | Rukiyia Smith | Behavior Technician | 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-25 |
| 1245894310 | Mary Kathleen Tate | Specialist/Technologist | 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-24 |
| 1194295766 | Kimberly Sue Trent | Registered Nurse | 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 | 2018-11-27 |
| 1659869089 | Alaska Spine & Pain Center, LLC | Chiropractor | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 | 2018-05-01 |
| 1235643123 | Rosanne Louise Klouda | Massage Therapist | 213 Fireweed Ln, Anchorage, AK 99503 | 2017-11-30 |
| 1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
| 1548773849 | Leslie K Michalski | Massage Therapist | 510 W Tudor Rd Ste 9, Anchorage, AK 99503 | 2017-11-08 |
| Find all providers in zip 99503 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962581249 | Marek A Martynowicz | Internal Medicine | 3260 Providence Dr Ste 523, Anchorage, AK 99508-4608 | 2006-11-06 |
| 1700846003 | Norman James Wilder | Internal Medicine | 10201 Sidorof Lane, Anchorage, AK 99507-6420 | 2006-03-23 |
| 1518936871 | John M Clark | Internal Medicine | 3220 Providence Dr, Ste E3040, Anchorage, AK 99508 | 2006-03-17 |
| 1407838170 | Gregory Dale Gerboth | Internal Medicine | 3300 Providence Dr Ste B208, Anchorage, AK 99508 | 2005-11-17 |
| 1669094421 | Marek Martynowicz Inc. | Internal Medicine | 3260 Providence Dr Ste 523, Anchorage, AK 99508-4608 | 2020-05-14 |
| 1932229606 | Norman J. Wilder, M.d. | Internal Medicine | 10201 Sidorof Lane, Anchorage, AK 99507-6420 | 2007-03-29 |
| 1295855716 | Pulmonary Associates LLC | Internal Medicine | 3220 Providence Dr, Suite E 3040, Anchorage, AK 99508-4615 | 2007-03-29 |
| 1225158744 | Buffinton B. Burtis, M.d. | Internal Medicine | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2007-03-29 |
| 1184606956 | Beth Ann Baker | Internal Medicine | 2841 Debarr Road, Suite 50, Anchorage, AK 99508 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962992297 | David E Frankl | Internal Medicine | 10331 Stewart Dr, Eagle River, AK 99577-9559 | 2018-05-11 |
| 1275993685 | Denali Asthma and Pulmonary LLC | Internal Medicine | 3202 International St, Suite 201, Fairbanks, AK 99701-7392 | 2016-02-26 |
| 1568580850 | Chest Medicine Fairbanks,p.c | Internal Medicine | 1650 Cowles St, Fairbanks, AK 99701-5998 | 2007-03-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.