MRS. CARLY LYNN THOMAS (NPI# 1205283561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205283561 |
| Entity Type | Individual |
| Full Name | MRS. CARLY LYNN THOMAS |
| Credential | PA-C |
| Practice Address |
17025 Snowmobile Ln Eagle River AK 99577-7044 |
| Mailing Address |
1150 S Colony Way Ste 3 Palmer AK 99645-6972 |
| Practice Telephone | 9076949553 |
| Practice Fax Number | 9076949585 |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2018-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 126320 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1679133 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1150 S Colony Way Ste 3, Palmer, AK 99645 | 5036217381 | |
| 3066 E Meridian Park Loop, Wasilla, AK 996547254 | 9073579560 | 9073579596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568569820 | Carly W Thomas | Dentist | 3227 N Oak St Ext, Suite A, Valdosta, GA 31605 | 2006-09-20 |
| 1912545237 | Carly Thomas | Speech-Language Pathologist | 7819 Conser Pl, Overland Park, KS 66204-2820 | 2019-12-17 |
| Street Address |
17025 SNOWMOBILE LN |
| City | EAGLE RIVER |
| State | AK |
| Zip Code | 99577-7044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518958396 | Heather Mcneal Jones | Family Medicine | 17025 Snowmobile Ln, Eagle River, AK 99577-7044 | 2005-11-02 |
| 1669924395 | Medical Group of Alaska | Family Medicine | 17025 Snowmobile Ln, Eagle River, AK 99577-7044 | 2016-10-28 |
| 1548627680 | Kaila Hayes | Registered Nurse | 17025 Snowmobile Ln, Eagle River, AK 99577-7044 | 2016-01-20 |
| 1306221544 | Aurora Sidney-ando | Counselor | 17025 Snowmobile Ln, Suite 4, Eagle River, AK 99577-7044 | 2015-07-29 |
| 1962890939 | Christopher David Dietrich | Physician Assistant | 17025 Snowmobile Ln, Eagle River, AK 99577-7044 | 2014-12-29 |
| 1770981425 | Cherise Hug | Physician Assistant | 17025 Snowmobile Ln, Suite 4, Eagle River, AK 99577-7044 | 2014-12-11 |
| 1043610892 | Orion Behavioral Health Network | Psychologist | 17025 Snowmobile Ln, Suite 4, Eagle River, AK 99577-7044 | 2014-08-29 |
| 1154768323 | Leska Nicole James | Nurse Practitioner | 17025 Snowmobile Ln, Eagle River, AK 99577-7044 | 2013-05-29 |
| 1902150139 | Kerry A Anson | Physician Assistant | 17025 Snowmobile Ln, Eagle River, AK 99577-7044 | 2012-11-09 |
| 1265702997 | Orion Behavioral Health Network, LLC | Pediatrics | 17025 Snowmobile Ln, Suite 4, Eagle River, AK 99577-7044 | 2012-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831758333 | Dianne E Lyons | Behavior Technician | 16331 Heritage Place, Suite 101, Eagle River, AK 99577 | 2019-06-07 |
| 1073007209 | Center for Natural Medicine, Inc. | Acupuncturist | 16844 Easy St, Eagle River, AK 99577 | 2018-06-20 |
| 1538652748 | Shelly Rana Budde | Nurse Practitioner | 19139 Upper Skyline Dr, Eagle River, AK 99577 | 2018-06-12 |
| 1700387529 | Aaron Wesley Jones | Behavior Technician | 16941 Notrh Eagle River Loop Road, Eagle River, Ak, AK 99577 | 2018-02-27 |
| 1033641881 | Sierra Bracken | Massage Therapist | 12812 Old Glenn Hwy, Ste C3, Eagle River, AK 99577 | 2017-03-31 |
| 1699213231 | Jolene Denee Rogers | Counselor | 13620 Old Glenn Hwy, Ste C, Eagle River, AK 99577 | 2017-02-02 |
| 1881040962 | Elizabeth Hanson | Behavioral Analyst | 16941 North Eagle River Loop Road, Suite 3, Eagle River, AK 99577 | 2016-05-09 |
| 1023496148 | Joel Richard Wallace | Dentist | 16727 Farm Avenue, Eagle River, AK 99577 | 2015-05-08 |
| 1184019663 | Nicole Christine Newman | Physician Assistant | 11432 Business Blvd., Suite 4, Eagle River, AK 99577 | 2015-04-01 |
| 1417365362 | Tammi Smith | Community Health Worker | 16510 Centerfield Dr B 107, Eagle River, AK 99577 | 2014-07-23 |
| Find all providers in zip 99577 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215443122 | Denali Surgical Services, LLC | Physician Assistant | 12110 Business Blvd Ste 6 #410, Eagle River, AK 99577-7798 | 2017-12-15 |
| 1184019663 | Nicole Christine Newman | Physician Assistant | 11432 Business Blvd., Suite 4, Eagle River, AK 99577 | 2015-04-01 |
| 1548448830 | Nina Lynn Perino | Physician Assistant | 12320 Old Glenn Hwy Ste A, Eagle River, AK 99577-7571 | 2008-02-08 |
| 1902861131 | Jill K Brunstad | Physician Assistant | 500 Commerce Dr, Eagle River, WI 54521-8038 | 2006-04-19 |
| 1699767418 | Thomas A. Fenger | Physician Assistant | 16839 Park Place St, Eagle River, AK 99577-7819 | 2005-08-17 |
| 1154792620 | Timothy Olson | Physician Assistant | 17101 Snowmobile Ln Ste 102, Eagle River, AK 99577-7043 | 2015-10-09 |
| 1770981425 | Cherise Hug | Physician Assistant | 17025 Snowmobile Ln, Suite 4, Eagle River, AK 99577-7044 | 2014-12-11 |
| 1871912915 | Suzanne Rose Kangas | Physician Assistant | 11432 Business Blvd, Ste 4, Eagle River, AK 99577-7720 | 2014-04-15 |
| 1669745865 | Tasha Corinth | Physician Assistant | 11432 Business Blvd Ste 4, Eagle River, AK 99577-7740 | 2012-02-17 |
| 1437346111 | Anchorage Housecall Medicine LLC | Physician Assistant | 1444 S Creek Rd, Eagle River, AK 99577-9461 | 2007-09-26 |
| Find all providers in EAGLE RIVER | ||||
| City | EAGLE RIVER |
| Zip Code | 99577 |
Please comment or provide details below to improve the information on MRS. CARLY LYNN THOMAS.
| 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.