ANCHORAGE FOOT AND ANKLE CLINIC, LLC (NPI# 1245656727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245656727 |
| Entity Type | Organization |
| Organization Name | ANCHORAGE FOOT AND ANKLE CLINIC, LLC |
| Practice Address |
1000 E Dimond Blvd Suite 201 Anchorage AK 99515-2029 |
| Practice Telephone | 9073442155 |
| Practice Fax Number | 9073448841 |
| Mailing Telephone | 9073442155 |
| Mailing Fax Number | 9073448841 |
| Enumeration Date | 2014-03-08 |
| Last Update Date | 2014-03-08 |
| Authorized Official Name | DR. HEATHER KAUFMAN (OWNER) |
| Authorized Official Telephone | 9706230501 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
8108 | AK | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 66252245 | 05 |
| Street Address |
1000 E DIMOND BLVD SUITE 201 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99515-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982794434 | Steven Scott Dobson | Optometrist | 1000 E Dimond Blvd, Suite 101, Anchorage, AK 99515-2008 | 2006-10-13 |
| 1912314774 | Lauren Michelle Dobson Hazelton | Optometrist | 1000 E Dimond Blvd, Suite 101, Anchorage, AK 99515-2029 | 2014-07-14 |
| 1740525849 | Corporate Chiropractic, Inc. | Chiropractor | 1000 E Dimond Blvd, Suite 202, Anchorage, AK 99515-2008 | 2012-11-30 |
| 1891821534 | Gary H Wilson | Podiatrist | 1000 E Dimond Blvd, Anchorage, AK 99515-2008 | 2007-02-26 |
| 1841363587 | Kenneth Arthur Wynne | Dentist | 1000 E Dimond Blvd, 205, Anchorage, AK 99515 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891293239 | Above The Horizon LLC | Custodial Care Facility | 3300 Amber Bay Loop, Anchorage, AK 99515 | 2018-01-31 |
| 1689103004 | Kristine Troesch | Massage Therapist | 1130 W Dimond Blvd Suite D, Anchorage, AK 99515 | 2017-06-08 |
| 1710433610 | Yichen Chung | Physical Therapist | 9500 Canton Loop, Anchorage, AK 99515 | 2016-08-30 |
| 1093185175 | Lemon Tree Family Medicine, LLC | Family Medicine | 621 W., Dimond Anchorage, AK 99515 | 2015-10-01 |
| 1861891285 | Shawna J Mcelroy | Physician Assistant | 1389 Huffman Road, #150, Anchorage, AK 99515 | 2014-08-21 |
| 1003224189 | Kelly Cutrer | Pharmacist | 12045 Brandon St, Anchorage, AK 99515 | 2014-08-01 |
| 1922419449 | Shady Cook | Case Manager/Care Coordinator | 14041 Sunview Dr., Anchorage, AK 99515 | 2014-05-19 |
| 1699119941 | Lezlee Henry-dupoux | Social Worker | 1221 Huffman Park Drive, Anchorage, AK 99515 | 2013-04-17 |
| 1790035087 | Carmelite Home | Residential Treatment Facility, Physical Disabilities | 9401 Aphrodite Dr., Anchorage, AK 99515 | 2012-09-13 |
| 1982996344 | Richard L Day, Dds, Apc | Dentist | 10998 Omalley Centre Dr., Suite A, Anchorage, AK 99515 | 2011-05-04 |
| Find all providers in zip 99515 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821135427 | Matt A Heilala | Podiatrist | 4100 Lake Otis Pkwy Ste 312, Anchorage, AK 99508-5231 | 2007-01-31 |
| 1588755110 | Kenneth Craig Swayman | Podiatrist | 2741 Debarr Rd Ste C315, Anchorage, AK 99508-2992 | 2006-09-27 |
| 1861809311 | Alaskan Legacy Podiatric Foot & Ankle Specialist LLC | Podiatrist | 4001 Laurel St, Suite 209, Anchorage, AK 99508-5300 | 2014-07-16 |
| 1447424965 | Jared Kern | Podiatrist | 4100 Lake Otis Pkwy, Suite 312, Anchorage, AK 99508-5229 | 2008-04-16 |
| 1891821534 | Gary H Wilson | Podiatrist | 1000 E Dimond Blvd, Anchorage, AK 99515-2008 | 2007-02-26 |
| 1255478863 | Jennifer Jansma | Podiatrist | 4100 Lake Otis Pkwy Ste 312, Anchorage, AK 99508-5231 | 2007-01-31 |
| 1457431785 | Karl Albert Boesenberg | Podiatrist | 2741 Debarr Rd, Suite C-315, Anchorage, AK 99508-2953 | 2006-10-17 |
| 1316046790 | Matt A. Heilala, Dpm Inc. | Podiatrist | 4100 Lake Otis Pkwy, Suite 312, Anchorage, AK 99508-5222 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922566652 | Matt A. Heilala, Dpm Inc. | Podiatrist | 3190 E Meridian Park Loop Ste 205, Wasilla, AK 99654-7422 | 2019-03-12 |
| 1578819215 | Danny Romman | Podiatrist | 240 Hospital Pl Ste 203, Soldotna, AK 99669-7559 | 2012-07-31 |
| 1659687945 | Fairbanks Foot & Ankle Inc. | Podiatrist | 1405 Kellum St., Ste 200, Fairbanks, AK 99701 | 2010-08-24 |
| 1417042912 | Frank Fir Mesdag | Podiatrist | 8800 Glacier Highway, Suite 218, Juneau, AK 99801-8080 | 2006-10-03 |
| 1649620303 | Whitney Daneille Garner | Podiatrist | 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | 2016-06-14 |
| 1699119016 | Kristina Diann Lacy | Podiatrist | 240 Hospital Pl, Suite 203, Soldotna, AK 99669-7559 | 2013-04-29 |
| 1699968438 | Kito Daren Brooks | Podiatrist | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2007-08-24 |
| 1669673596 | Kelly Marie Moxley | Podiatrist | 8800 Glacier Hwy, Suite 218, Juneau, AK 99801-8087 | 2007-05-29 |
| 1720041601 | Brett Carner | Podiatrist | 5955 Zeamer Avenue, 673d Mdg, Jber, AK 99506 | 2006-04-11 |
Please comment or provide details below to improve the information on ANCHORAGE FOOT AND ANKLE CLINIC, LLC.
| 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.