MARK T. KOWAL MD PC (NPI# 1205112240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205112240 |
| Entity Type | Organization |
| Organization Name | MARK T. KOWAL MD PC |
| Practice Address |
1919 Lathrop St Suite 202 Fairbanks AK 99701-5937 |
| Practice Telephone | 9074515507 |
| Practice Fax Number | 9074515590 |
| Mailing Telephone | 9074515507 |
| Mailing Fax Number | 9074515590 |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2016-12-27 |
| Authorized Official Name | DR. MARK TIMOTHY KOWAL (GENERAL SURGEON) |
| Authorized Official Telephone | 9074515507 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 7319 | AK | Ambulatory Health Care Facilities |
| Street Address |
1919 LATHROP ST SUITE 202 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-5937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699774299 | Letha C Archer | Pediatrics | 1919 Lathrop St, Suite 100, Fairbanks, AK 99701-5937 | 2005-07-18 |
| 1245708668 | Tanana Valley Clinic LLC | Clinic/Center | 1919 Lathrop St, Fairbanks, AK 99701-5937 | 2018-11-03 |
| 1275084626 | Jeffrey W. Kilgore Dmd PC | Dentist | 1919 Lathrop St, Ste: 211, Fairbanks, AK 99701-5937 | 2016-10-20 |
| 1992256341 | Otter Dental | Dentist | 1919 Lathrop St, Suite 211, Fairbanks, AK 99701-5937 | 2016-10-20 |
| 1467909218 | Rebecca Rengel | Physical Therapist | 1919 Lathrop St, Ste 123, Fairbanks, AK 99701-5937 | 2016-09-08 |
| 1538613203 | Brent Little | Physical Therapist | 1919 Lathrop St, Suite 123, Fairbanks, AK 99701-5937 | 2016-08-10 |
| 1396298626 | Nicholas Nzioka Ndetti Jr. | Pharmacist | 1919 Lathrop St, Suite 109, Fairbanks, AK 99701-5937 | 2016-08-03 |
| 1366829699 | Karolina Priebe | Nurse Practitioner | 1919 Lathrop St, Suite 101, Fairbanks, AK 99701-5937 | 2015-05-06 |
| 1124405618 | David Boyd | Specialist/Technologist | 1919 Lathrop St, Suite 123, Fairbanks, AK 99701-5937 | 2015-05-04 |
| 1679903140 | Heidi Wood | Physical Therapist | 1919 Lathrop St, #123, Fairbanks, AK 99701-5937 | 2013-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407264328 | Forget Me Not Ultrasound | Clinic/Center | 2054 #30th Avenue, Fairbanks, AK 99701-5720 | 2014-07-23 |
| 1679664239 | Anp Family Care Inc | Clinic/Center | 1867 Airport Way Ste 110b, Fairbanks, AK 99701-4054 | 2006-09-27 |
| 1437765427 | Aurora Audiology LLC | Clinic/Center | 1901 Airport Way Ste 102, Fairbanks, AK 99701-4049 | 2020-09-16 |
| 1558539122 | Building Blocks Occupational Therapy, Inc | Clinic/Center | 398 Hamilton Ave, Fairbanks, AK 99701-4760 | 2008-02-15 |
| 1134308356 | Tanana Chiefs Conference | Clinic/Center | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2007-10-25 |
| 1821201278 | Tanana Chiefs Conference | Clinic/Center | 122 1st Ave, Suite 600, Fairbanks, AK 99701-4803 | 2007-05-08 |
| 1073636148 | Fairbanks Clinic Inc | Clinic/Center | 1919 Lathrop St, Suite 100, Fairbanks, AK 99701-5930 | 2007-04-06 |
| 1972643138 | Equinox, Inc | Clinic/Center | 3677 College Rd, Suite 13, Fairbanks, AK 99709-3712 | 2007-02-07 |
| 1467565531 | Clear Vision Optometry, Inc | Clinic/Center | 1867 Airport Way, Suite 150-a, Fairbanks, AK 99701-4007 | 2006-08-16 |
| 1184691743 | Tanana Valley Medical Surgical Group Inc | Clinic/Center | 1001 Noble St, Fairbanks, AK 99701-4922 | 2006-03-02 |
| Find all providers in FAIRBANKS | ||||
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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.