COLLEEN KERSGARD (NPI# 1194875831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194875831 |
Entity Type | Individual |
Full Name | COLLEEN KERSGARD |
Credential | MD |
Practice Address |
5955 Zeamer Ave Jber AK 99506-3702 |
Practice Telephone | (907) 580-3130 |
Mailing Telephone | (907) 580-3130 |
Enumeration Date | 2007-01-12 |
Last Update Date | 2017-07-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
01055121A | IN | Allopathic & Osteopathic Physicians |
Street Address |
5955 ZEAMER AVE |
City | JBER |
State | AK |
Zip Code | 99506-3702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225031768 | Robert Fenton Tyree | Family Medicine | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2005-05-28 |
1457985210 | Allison Nicole Womble | Pharmacist | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2020-03-02 |
1982249579 | Nicolas Araiza Jr. | Social Worker | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2019-11-07 |
1235772732 | Sean Michael Batzer | Physical Therapist | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2019-10-28 |
1912540295 | Melody Megan Thompson | Nurse Practitioner | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2019-10-19 |
1932752771 | Kevin T Watanabe | Dietitian, Registered | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2019-07-22 |
1851853048 | Jordan Matthew Cate | Military Health Care Provider | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2019-04-05 |
1669933719 | Keith Happawana | Counselor | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2019-03-29 |
1104303320 | Luis Baltazar Baptista | Military Health Care Provider | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2018-07-20 |
1134611213 | Luke Acker | Psychologist | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2018-06-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538797279 | Mark Pulver | Social Worker | 673mdg, Zeamer Avenue, Joint Base Elmendorf-richardson, AK 99506 | 2020-03-30 |
1871052837 | Ryan Kenny Zarnowski | Dentist | 673 Mdg, 5955 Zeamer Avenue, Jber, Ak 99506, Apo, AA 99506 | 2019-03-18 |
1679056659 | Bennett Robert Stadler | Physician Assistant | 673 Mdg 5955 Zeamer Avenue, Jber, AK 99506 | 2018-09-14 |
1437678687 | Mary Ann Barnard | Nurse Practitioner | Joint Base Elmendorf-richardson Hospital, 5955 Zeamer Ave, Anchorage, AK 99506 | 2017-09-19 |
1205375698 | Kuuipo Lau | Social Worker | 673d Mdg, 5955 Zeamer Ave., Jber, AK 99506 | 2017-02-17 |
1427434315 | Vance Knauer | Dentist | 673mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-08-03 |
1295112159 | Jacob Eby | Pediatrics | 673 Mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-04-29 |
1174956338 | Scott M Cheney | Physical Therapist | 673mdg, 5955 Zeamer Ave, Jber, AK 99506 | 2013-08-12 |
1518305580 | Jennifer Lynn Robison | Physician Assistant | 65955 Zeamer Avenue, Jber, AK 99506 | 2013-06-12 |
1588939664 | Paul Aaron Garrett | Emergency Medicine | 673rd Mdg, 5955 Zeamer Avenue, Jber, Apo, AA 99506 | 2012-03-21 |
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Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538636865 | Bradley Robert Schmidt | Internal Medicine | 6623 E Blue Lupine Dr, Palmer, AK 99645-5903 | 2018-10-24 |
1043345259 | Anchorage Oncology Centre,llc | Internal Medicine | 4231 Lake Otis Pkwy, Suite B2, Anchorage, AK 99508-5214 | 2007-02-21 |
1174576490 | Musaberk Goksel | Internal Medicine | 188 W Northern Lights Blvd Ste 800, Anchorage, AK 99503-3984 | 2006-05-18 |
1184605313 | Susan C. Delgalvis | Internal Medicine | 3851 Piper St, U340, Anchorage, AK 99508 | 2005-11-05 |
1538153564 | Jacqueline Ann Cox | Internal Medicine | 1640 Cowles St, Suite 1, Fairbanks, AK 99701-5992 | 2005-09-06 |
1104818913 | James Morgan Sprott Jr. | Internal Medicine | 6721 Samuel Ct, Anchorage, AK 99516-2412 | 2005-08-17 |
1770967598 | Midnight Sun Oncology Partners, LLC | Internal Medicine | 2490 S Woodworth Loop, Suite 499, Palmer, AK 99645-7410 | 2015-07-10 |
1386059061 | Natalie Hale Wallace | Internal Medicine | 2925 Debarr Rd Ste 300, Anchorage, AK 99508-2974 | 2014-06-21 |
1518221977 | Anusiyanthan Mariampillai | Internal Medicine | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2012-07-01 |
1942478854 | Anchorage Associates In Radiation Medicine, Ll | Internal Medicine | 3851 Piper Street, Tower U Suite Ll002, Anchorage, AK 99508 | 2008-02-13 |
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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.