KONRAD C KALTENBORN MD (NPI# 1306022314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306022314 |
| Entity Type | Organization |
| Organization Name | KONRAD C KALTENBORN MD |
| Practice Address |
4100 Lake Otis Pkwy Ste 305 Anchorage AK 99508-5229 |
| Mailing Address |
Po Box 241889 Anchorage AK 99524-1889 |
| Practice Telephone | 9077518116 |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2008-01-21 |
| Authorized Official Name | MONICA BULLARD (SYSTEMS MANAGER) |
| Authorized Official Telephone | 9077518116 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Street Address |
4100 LAKE OTIS PKWY STE 305 |
| 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 |
| 1205298957 | Primary Care Associates | Clinic/Center | 4100 Lake Otis Pkwy, Suite 322, Anchorage, AK 99508-5229 | 2016-03-22 |
| 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 |
| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962580480 | Jerry Ross Tanner II | Internal Medicine | 2841 Debarr Rd Ste 43, Anchorage, AK 99508-2967 | 2006-11-01 |
| 1184606014 | Janice Ann Koval | Internal Medicine | 2841 Debarr Rd Ste 50, Anchorage, AK 99508-2945 | 2005-11-16 |
| 1114441227 | Jeffrey D Medland, LLC | Internal Medicine | 3260 Providence Dr Ste 523, Anchorage, AK 99508-4608 | 2017-07-31 |
| 1659521888 | J. Ross Tanner, D.o. LLC | Internal Medicine | 2841 Debarr Rd, Suite 43, Anchorage, AK 99508-2932 | 2008-09-24 |
| 1780733105 | Jeffrey Dale Medland | Internal Medicine | 2841 Debarr Rd, Suite 43, Anchorage, AK 99508-2958 | 2007-01-09 |
| 1821056284 | John J Regan Jr. | Internal Medicine | 2925 Debarr Rd, Anchorage, AK 99508-2983 | 2006-05-03 |
| 1710943196 | Jeanne R Bonar | Internal Medicine | 3260 Providence Dr, #523, Anchorage, AK 99508-4608 | 2006-04-25 |
| 1972589299 | Konrad C Kaltenborn | Internal Medicine | 3260 Providence Dr, #523, Anchorage, AK 99508-4608 | 2005-12-19 |
| 1043294648 | Internal Medicine Associates, LLC | Internal Medicine | 2841 Debarr Rd Ste 50, Anchorage, AK 99508-2945 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316953409 | Samuel Lee Abbate | Internal Medicine | 3331 E Meridian Park Loop, Wasilla, AK 99654-7299 | 2006-07-31 |
| 1669643896 | Adonai Diabetes and Endocrinology Center | Internal Medicine | 3331 E Meridian Park Loop, Wasilla, AK 99654-7299 | 2008-03-15 |
| 1457316051 | Muhammad K Ahmed | Internal Medicine | 1001 Noble St, Fairbanks, AK 99701-4948 | 2006-04-18 |
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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.