LAKES MEDICAL CLINIC (NPI# 1225237563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225237563 |
| Entity Type | Organization |
| Organization Name | LAKES MEDICAL CLINIC |
| Practice Address |
5050 Dunbar Street Suite D Wasilla AK 99654 |
| Mailing Address |
Po Box 876009 Wasilla AK 99687-6009 |
| Practice Telephone | 9073570820 |
| Practice Fax Number | 9073570821 |
| Mailing Telephone | 9073570820 |
| Mailing Fax Number | 9073570821 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | DR. CHARLES D LAYMAN (M.D.) |
| Authorized Official Telephone | 9073570820 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | ========= | AK | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | NPI # GERALD EDWARD MANNI | 1083701858 | 01 |
| AK | NPI # DR. CHARLES D. LAYM | 1154418945 | 01 |
| Street Address |
5050 DUNBAR STREET SUITE D |
| City | WASILLA |
| State | AK |
| Zip Code | 99654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104165687 | Susan K Miller | Health Maintenance Organization | 3051 S Caryshea St, Wasilla, AK 99623-9409 | 2013-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356707871 | Ellen Vaughn | Health Maintenance Organization | 3820 Lake Otis Pkwy Ste 105, Anchorage, AK 99508-5209 | 2016-01-13 |
| 1205259926 | Northwest Independence Care LLC | Health Maintenance Organization | 2701 Kempton Hills Dr, Anchorage, AK 99516-2749 | 2014-01-31 |
| 1396007209 | Hindman Family Chiropractic LLC | Health Maintenance Organization | 13135 Old Glenn Hwy Ste 100, Eagle River, AK 99577-7584 | 2012-06-15 |
| 1346501426 | Dental Associates of Alaska | Health Maintenance Organization | 1600 E Tudor Rd Ste 201, Anchorage, AK 99507-1050 | 2012-06-05 |
| 1922247931 | Nustart Assisted Living | Health Maintenance Organization | 729 E 9th Ave, Anchorage, AK 99501-3738 | 2009-02-13 |
| 1205097862 | Valdez Senior Citizen Center | Health Maintenance Organization | 1300 E Hanagita, Valdez, AK 99686-1300 | 2008-06-17 |
| 1255478806 | Maniilaq Association | Health Maintenance Organization | 32 Back Street, Shungnak, AK 99773-0080 | 2007-01-31 |
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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.