PRIMARY CARE ASSOCIATES (NPI# 1205298957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205298957 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE ASSOCIATES |
| Practice Address |
4100 Lake Otis Pkwy Suite 322 Anchorage AK 99508-5229 |
| Practice Telephone | 9075621234 |
| Practice Fax Number | 9075618550 |
| Mailing Telephone | 9075621234 |
| Mailing Fax Number | 9075618550 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |
| Authorized Official Name | DR. BRUCE KIESSLING (PRESIDENT, MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9075621234 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
109696 | AK | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548391030 | Primary Care Associates | Family Medicine | 4536 Highway 6 N, Houston, TX 77084-3402 | 2007-03-08 |
| 1053623991 | Primary Care Associates | Medicare Defined Swing Bed Unit | 196 Thomas Johnson Dr, Suite 225, Frederick, MD 21702-4397 | 2010-07-08 |
| 1912122706 | Primary Care Associates | Internal Medicine | 802 Old Springfield Ave, Summit, NJ 07901-1130 | 2007-04-16 |
| 1508962564 | Primary Care Associates | Internal Medicine | 602 Parmalee Ave, Suite 400, Youngstown, OH 44510-1653 | 2006-09-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Primary Care Associates of Potomac P.C. | 1900-f Opitz Blvd, Woodbridge, Virginia 22191 |
| System for Award Management (SAM) Entities | PRIMARY CARE ASSOCIATES SOLUTIONS | 2925 Skyway Cir N # 110, Irving, TX 75038-3510 |
| Oregon Corporations, Companies and Business Names | PRIMARY CARE ASSOCIATES, LLC | 6469 Wagner Creek Rd, Talent, OR 97540 |
| Washington State Corporations | PRIMARY CARE ASSOCIATES, P.S. | 4122 Factoria Blvd Se Ste 201, Bellevue, WA 98006-5259 |
| Street Address |
4100 LAKE OTIS PKWY SUITE 322 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275535502 | Colleen Mary Elizabeth Murphy | Specialist | 4100 Lake Otis Pkwy, Ste 330, Anchorage, AK 99508-5232 | 2005-05-31 |
| 1003389032 | Ashliegh Levesque | Specialist/Technologist, Other | 4100 Lake Otis Pkwy, Anchorage, AK 99508-5229 | 2019-01-02 |
| 1568961407 | Julia Hyatt | Nurse Anesthetist, Certified Registered | 4100 Lake Otis Pkwy, Anchorage, AK 99508-5229 | 2018-02-06 |
| 1720525942 | Colleen Curley | Nurse Anesthetist, Certified Registered | 4100 Lake Otis Pkwy, Ste102, Anchorage, AK 99508-5229 | 2017-01-25 |
| 1053862607 | U.S. Healthworks Medical Group of Alaska, LLC | Family Medicine | 4100 Lake Otis Pkwy, Suite 322, Anchorage, AK 99508-5229 | 2016-10-19 |
| 1043761695 | U.S. Healthworks Medical Group of Alaska, LLC | Clinic/Center | 4100 Lake Otis Pkwy, Suite 100, Anchorage, AK 99508-5229 | 2016-10-19 |
| 1679920565 | Leslie Tolliver II | Physician Assistant | 4100 Lake Otis Pkwy, Suite 206, Anchorage, AK 99508-5229 | 2016-05-20 |
| 1922468743 | Kristin Ashby | Nurse Practitioner | 4100 Lake Otis Pkwy, Suite 322, Anchorage, AK 99508-5229 | 2016-03-07 |
| 1902286701 | Adrian Barniak | Physical Therapist | 4100 Lake Otis Pkwy, Suite 106, Anchorage, AK 99508-5229 | 2015-06-05 |
| 1457758815 | Jessica Rowley | Physician Assistant | 4100 Lake Otis Pkwy, Suite 322, Anchorage, AK 99508-5229 | 2014-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295361228 | Akins Mobile Health & Clinical Consultants, LLC | Clinic/Center | 2942 Gladys Marie Cir, Anchorage, AK 99516-1407 | 2020-03-22 |
| 1457865271 | Vera Whole Health Inc | Clinic/Center | 1450 Muldoon Rd, Anchorage, AK 99504-2820 | 2017-12-01 |
| 1780079749 | John D. Zipperer Jr Md, LLC | Clinic/Center | 2110 E. Northern Lights Blvd., Suite 102, Anchorage, AK 99508 | 2015-04-06 |
| 1609173798 | M. Jane Moore, Md. LLC. | Clinic/Center | 3260 Providence Dr Ste 526, Anchorage, AK 99508-4608 | 2011-02-25 |
| 1821304379 | Manuka Health Clinic, LLC | Clinic/Center | 3685 Arctic Blvd, Anchorage, AK 99503-5704 | 2010-08-23 |
| 1346400363 | House Calls 4 Kids, LLC | Clinic/Center | 4200 Yukla Cir, Anchorage, AK 99504-4739 | 2008-06-12 |
| 1114190824 | Surgery Assistants of Alaska LLC | Clinic/Center | 9150 Jewel Lake Road Ste B, Anchorage, AK 99502 | 2008-04-03 |
| 1437772886 | Southcentral Foundation | Clinic/Center | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2020-05-20 |
| 1558993451 | Access2care, LLC | Clinic/Center | 4120 Laurel St Ste 106, Anchorage, AK 99508-5392 | 2020-02-08 |
| 1457747800 | Summit Family Practice, LLC | Clinic/Center | 2741 Debarr Rd, Suite C-308, Anchorage, AK 99508-2961 | 2015-04-13 |
| 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.