PALMER FAMILY MEDICINE INC (NPI# 1356368054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356368054 |
| Entity Type | Organization |
| Organization Name | PALMER FAMILY MEDICINE INC |
| Practice Address |
634 S Bailey St Suite 104 Palmer AK 99645-6330 |
| Mailing Address |
3680 S Sky Ranch Loop Palmer AK 99645-9008 |
| Practice Telephone | 9077462345 |
| Mailing Telephone | 9077460470 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2014-02-07 |
| Authorized Official Name | JASON WARD BROOKS (PHYSICIAN) |
| Authorized Official Telephone | 9077460470 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4291 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1020812 | 05 |
| Street Address |
634 S BAILEY ST SUITE 104 |
| City | PALMER |
| State | AK |
| Zip Code | 99645-6330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164465712 | Jason Brooks | Family Medicine | 634 S Bailey St, Ste 104, Palmer, AK 99645-6330 | 2006-06-13 |
| 1548613243 | Green Psychological Services, LLC | Community/Behavioral Health | 634 S Bailey St, 106, Palmer, AK 99645-6360 | 2016-07-18 |
| 1508121096 | Borealis Behavioral Health | Marriage & Family Therapist | 634 S Bailey St, Suite 207, Palmer, AK 99645-6330 | 2012-07-10 |
| 1669754370 | William Kerst | Clinical Neuropsychologist | 634 S Bailey St, Ste 106, Palmer, AK 99645-6360 | 2011-09-20 |
| 1184771750 | Jana T Miner-collins | Marriage & Family Therapist | 634 S Bailey St, Suite 207, Palmer, AK 99645-6330 | 2007-01-04 |
| 1891842472 | Michael William Johndro | Marriage & Family Therapist | 634 S Bailey St, Suite 207, Palmer, AK 99645-6330 | 2007-01-04 |
| 1205992849 | Tracy L Freer | Registered Nurse | 634 S Bailey St, Suite 207, Palmer, AK 99645-6330 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357135 | Kasey M Flintoft | Occupational Therapist | 7200 E. Jim Cottrell Cir, Palmer, AK 99645 | 2020-05-14 |
| 1629601471 | Courtney Randol | Licensed Practical Nurse | 14405 E Pace Dr., Palmer, AK 99645 | 2020-02-20 |
| 1689213092 | Valerie Anne Delaune | Acupuncturist | 9693 N. Little Otter Dr., Palmer, AK 99645 | 2020-01-02 |
| 1003464512 | Alaskan Sunrise Behavioral Health, L.L.C. | Clinic/Center | 14460 E. Pace Dr., Palmer, AK 99645 | 2019-08-28 |
| 1548814718 | Maple Springs of Palmer Snf Holdings, LLC | Skilled Nursing Facility | 12130 E Maple Springs Way, Palmer, AK 99645 | 2019-07-26 |
| 1952868655 | Carla Beth Kelly | Physical Therapist | 7200 Jim Cottrell Circle, Palmer, AK 99645 | 2019-02-28 |
| 1366938375 | Wendy S Page | Behavior Technician | 7200 E Jim Cottrell, Wasilla, AK 99645 | 2018-07-03 |
| 1154845170 | Sarah Elizabeth Gilliland | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2017-08-01 |
| 1558885137 | Garland Brooks | Massage Therapist | 1934 Prospect Dr, Palmer, AK 99645 | 2017-07-26 |
| 1386165009 | Sommer Dawn Nielsen | Massage Therapist | 3566 N Mars Ave., Palmer, AK 99645 | 2017-07-03 |
| Find all providers in zip 99645 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154865228 | Bruck Clift Md LLC | Family Medicine | 1901 North Hemmer Road Suite 110, Palmer, AK 99645 | 2016-12-08 |
| 1669926978 | Tyfanae Brinke | Family Medicine | 1941 S Jensen Rd, Palmer, AK 99645-5923 | 2016-08-04 |
| 1134548464 | Myra Dimitrov Dimitrov | Family Medicine | 2323 S Trunk Rd Apt 6, Palmer, AK 99645 | 2014-04-15 |
| 1427335785 | Coho Family Medicine LLC | Family Medicine | 7200 E Valley Cir, Palmer, AK 99645-5929 | 2011-11-14 |
| 1457659906 | Heirloom Wellnes and Birth LLC | Family Medicine | 2323 S Trunk Rd, Suite 6, Palmer, AK 99645 | 2011-03-08 |
| 1952631541 | Valley Medical Center Inc | Family Medicine | 425 E Dahlia Ave Ste M, Palmer, AK 99645-6463 | 2010-01-05 |
| 1225102551 | Kim Darlene Taylor | Family Medicine | Highway 108, Palmer, TN 37365 | 2006-11-20 |
| 1891888384 | Linda Sloan | Family Medicine | 425 E. Dhalia, Suite L, Palmer, AK 99645 | 2006-10-02 |
| 1902909781 | Michael R Moser | Family Medicine | 425 E Dahlia Ave Ste L, Palmer, AK 99645-6463 | 2006-09-06 |
| 1508878885 | Rachel Susan Cuevas | Family Medicine | 2480 S Woodworth Loop Ste 150, Palmer, AK 99645-7408 | 2006-08-13 |
| Find all providers in PALMER | ||||
Please comment or provide details below to improve the information on PALMER FAMILY MEDICINE INC.
| 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.