DAVID AMPONG (NPI# 1104464460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104464460 |
| Entity Type | Organization |
| Organization Name | DAVID AMPONG |
| Other Organization Name | ALASKA TREATMENT CENTER |
| Practice Address |
1577 C St Ste 204 Anchorage AK 99501-5164 |
| Practice Telephone | 9075389958 |
| Practice Fax Number | 9078652433 |
| Mailing Telephone | 9075389958 |
| Mailing Fax Number | 9078652433 |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2020-04-21 |
| Authorized Official Name | JENNIFER MCDERMOTT (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 5057122662 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1701389 | 05 |
| Other Name | Type Code |
|---|---|
| Alaska Treatment Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 130 W International Rd, Anchorage, AK 995181240 | 9075389958 |
| Street Address |
1577 C ST STE 204 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99501-5164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093304 | Ryan Garcia | Military Health Care Provider | 673d Med Group, Jber, AK 99501 | 2020-11-02 |
| 1033755798 | The Salvation Army, A California Corporation | Community/Behavioral Health | 1700 A Street, Anchorage, AK 99501 | 2019-11-18 |
| 1740841170 | Christina Lynne Arent Cook | Registered Nurse | 8000 West End Rd, Anchorage, AK 99501 | 2019-06-26 |
| 1033770672 | Kathy Eileen Mailelle | Behavior Technician | 8000 West End Road, Anchorage, AK 99501 | 2019-06-25 |
| 1306312574 | Patricia Estella Gould | Marriage & Family Therapist | 731 N St, Anchorage, AK 99501 | 2018-10-15 |
| 1497235642 | Beth Alta Fletcher | Specialist | 737 W 5th Ave Ste 202, Anchorage, AK 99501 | 2018-08-17 |
| 1699289645 | Jae Won Lee | Dentist | 726 E. 9th Avenue, Anchorage, AK 99501 | 2017-11-29 |
| 1649797796 | Seong Guy Hyung | Dentist | 726 E 9th Avenue, Anchorage, AK 99501 | 2017-08-29 |
| 1871952705 | Warren Anderson | Massage Therapist | 737 West 5th Avenue Suite 202, Anchorage, AK 99501 | 2016-02-20 |
| 1780072603 | Epoch - Alaska Limited Liability Company | General Practice | 3074 Mt. View Drive, Suite 193, Anchorage, AK 99501 | 2014-12-30 |
| Find all providers in zip 99501 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760017123 | Sara Rottman | Nurse Practitioner | 2210 Sentry Dr Apt 14, Anchorage, AK 99507-5353 | 2020-03-05 |
| 1154897429 | Kristerra Nicole Yawea | Nurse Practitioner | 2440 E Tudor Rd # 384, Anchorage, AK 99507-1185 | 2018-10-15 |
| 1982187399 | Sara A Lindsoe | Nurse Practitioner | 8136 White Dr, Anchorage, AK 99507-6046 | 2018-09-11 |
| 1609326594 | Virginia Walker | Nurse Practitioner | 3211 Providence Drive Rh Ste 116, University of Alaska Anchorage Student Health & Councel, Anchorage, AK 99508 | 2016-10-04 |
| 1649622457 | Jenifer Swigart | Nurse Practitioner | 915 W. Northern Lights Blvd, Anchorage, AK 99503 | 2016-07-05 |
| 1649591504 | Karen E Sasnett | Nurse Practitioner | 4321 Gannett Cir, Anchorage, AK 99504-4203 | 2010-06-15 |
| 1790001899 | Peter Fritz Alward | Nurse Practitioner | 1500 Debarr Cir, Anchorage, AK 99508-2984 | 2010-04-14 |
| 1407189764 | Holly Dimeglio, Anp | Nurse Practitioner | 1407 W. 31st Ave, Ste 201, Anchorage, AK 99503 | 2009-09-17 |
| 1134397334 | Leona Marie Gillespie | Nurse Practitioner | 701 E Tudor Rd Ste 135, Anchorage, AK 99503-7459 | 2008-02-11 |
| 1427171800 | Martha Jane Herriott | Nurse Practitioner | 821 N St Ste 102, Anchorage, AK 99501-3285 | 2007-04-09 |
| Find all providers in ANCHORAGE | ||||
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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.