DR. MARIA EUGENIA MANDICH


Address: 1650 Cowles St, Fairbanks, AK 99701-5925
Phone: 9074585556

DR. MARIA EUGENIA MANDICH (NPI# 1326035809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326035809
Entity Type Individual
Full Name DR. MARIA EUGENIA MANDICH
Other Name DR. MARIA EUGENIA ALARCON
Credential MD
Practice Address 1650 Cowles St
Fairbanks
AK 99701-5925
Mailing Address 355 Faith Ln
Fairbanks
AK 99709-6916
Practice Telephone 9074585556
Practice Fax Number 9074585553
Mailing Telephone 9074573679
Enumeration Date 2005-09-30
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
3100 AK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AK MD6192 05

Office Location

Street Address 1650 COWLES ST
City FAIRBANKS
State AK
Zip Code 99701-5925

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629077938 Owen Quigley Hanley Internal Medicine 1650 Cowles St, Fairbanks, AK 99701-5998 2005-07-19
1083235212 Heather Garman Respiratory Therapist, Certified 1650 Cowles St, Fairbanks, AK 99701-5907 2020-04-28
1457982357 Sarah Ollenburger Dietitian, Registered 1650 Cowles St, Fairbanks, AK 99701-5907 2020-01-29
1972133619 Amanda Ward Registered Nurse 1650 Cowles St, Fairbanks, AK 99701-5907 2020-01-22
1568938975 Jim Kirby Button Pharmacist 1650 Cowles St, Fairbanks, AK 99701-5907 2018-10-23
1629559752 Amber J Ross Physician Assistant 1650 Cowles St, Fairbanks, AK 99701-5907 2018-08-27
1497255079 Kimberly J Bilsky Registered Nurse 1650 Cowles St, Fairbanks, AK 99701-5907 2018-02-20
1245730555 Brittany Marie Hosler Belknap Nurse Anesthetist, Certified Registered 1650 Cowles St, Fairbanks, AK 99701-5907 2018-02-14
1083128532 Kaitlin M Roehl Physician Assistant 1650 Cowles St, Fairbanks, AK 99701-5907 2017-11-20
1023548872 Jeri A Reid Physician Assistant 1650 Cowles St, Fairbanks, AK 99701-5907 2017-06-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659984987 Resource Center for Parents & Children, Inc. Social Worker 726 26th Ave, Suite #2, Fairbanks, AK 99701 2020-08-26
1134738982 Aaron Paul Sarauer Behavior Technician 3121 Lathrop St., Fairbanks, AK 99701 2020-07-28
1437715505 Fabienne Rose Marie Siddall Case Manager/Care Coordinator 122 1st Avenue, Fairbanks, AK 99701 2019-05-14
1902461957 Jacqueline Marie Rahm Counselor Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 2019-05-06
1821588989 Corrie Wilson Nurse Practitioner 1025 Barnette Street, Fairbanks, AK 99701 2018-05-15
1922519305 Sarishma Sangeeta Lal Registered Nurse 815 2nd Ave Ste 122, Fairbanks, AK 99701 2017-10-12
1245690569 Christine L Simko Naturopath 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 2016-02-29
1932581600 Jennifer Davis Registered Nurse 1025 West Barnette St., Fairbanks, AK 99701 2015-06-18
1700272705 John D. Zipperer Jr Md, LLC Clinic/Center 751 Old Richardson Hwy., Fairbanks, AK 99701 2015-04-07
1578957460 Mara Justine Becker Physician Assistant 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 2015-03-27
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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750307294 Marion Constance Mcdevitt Emergency Medicine 1650 Cowles St, Fairbanks, AK 99701-5925 2006-07-15
1447247770 Michael Rex Burton Emergency Medicine 1650 Cowles St, Fairbanks, AK 99701-5925 2005-10-03
1497742951 Bjorn N Aujalay Emergency Medicine 1650 Cowles St, Fairbanks, AK 99701-5925 2005-09-30
1447247929 Kenneth Douglas Glaeser Emergency Medicine 1650 Cowles St, Fairbanks, AK 99701-5925 2005-09-30
1326035759 Art J Strauss Emergency Medicine 1650 Cowles St, Fairbanks, Fairbanks, AK 99701-5925 2005-09-30
1174510663 Carol J Phillips Emergency Medicine 1650 Cowles St, Fairbanks, AK 99701-5925 2005-09-30
1043207533 Mark O Simon Emergency Medicine 1650 Cowles St, Fairbanks, AK 99701-5925 2005-09-30
1841287273 Brian A Tansky Emergency Medicine 1650 Cowles St, Fairbanks, AK 99701-5925 2005-09-30
1275529109 Emergency Medicine Associates PC Emergency Medicine 1650 Cowles St, Fairbanks, AK 99701-5925 2005-09-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922399666 Emily W Piercefield Emergency Medicine 709 W 9th St Ste 627, Juneau, AK 99801-1807 2011-04-28
1376782458 Seamus M Siddall Emergency Medicine 200 A Street, Siddall Medical Services At Clear Afs, Clear Afs, AK 99704 2009-02-12
1184611519 Susan J Tate Emergency Medicine 4076 Neely Road, Fort Wainwright, AK 99703 2005-09-30
1679566269 South Peninsula Hospital, Inc. Emergency Medicine 4300 Bartlett Street, Homer, AK 99603-7005 2005-08-29
1639539596 Nathaniel Guy Jimenez Emergency Medicine 5955 Zeamer Ave, Jber, AK 99506-3702 2016-03-03
1902932213 Thomas P Lyngholm Emergency Medicine 1060 Gaffney Rd # 7440, Usa Meddac-ak, Mcuc-mmd-credentials, Ft Wainwright, AK 99703 2007-02-23
1710095914 Carey Brent Gear Emergency Medicine 880 E End Rd, Homer, AK 99603-7201 2006-08-28
1679590327 Craig Doser Emergency Medicine 250 Hospital Pl, Soldotna, AK 99669-7559 2006-07-17
1851366207 Jim F Walery Emergency Medicine 1201 E 36th Ave, Anchorage, AK 99508-4372 2006-02-21
1417944687 Daniel Safranek Emergency Medicine 3200 Providence Dr, Anchorage, AK 99508-4661 2005-10-04
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Competitor

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City FAIRBANKS
Zip Code 99701

Improve Information

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Dataset Information

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.

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