FAIRBANKS CANCER CARE PHYSICIANS (NPI# 1386759470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386759470 |
| Entity Type | Organization |
| Organization Name | FAIRBANKS CANCER CARE PHYSICIANS |
| Practice Address |
1640 Cowles St Suite 1 Fairbanks AK 99701-5925 |
| Practice Telephone | 9074524768 |
| Practice Fax Number | 9074521009 |
| Mailing Telephone | 9074524768 |
| Mailing Fax Number | 9074521009 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2013-03-26 |
| Authorized Official Name | JACQUELINE COX (CO-OWNER) |
| Authorized Official Telephone | 9074524768 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
926150 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD14421 | 05 | |
| AK | MPG0088 | 05 | |
| AK | MD69431 | 05 | |
| AK | MDG543 | 05 | |
| AK | NP7619 | 05 | |
| AK | MD6153 | 05 |
| Street Address |
1640 COWLES ST SUITE 1 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-5925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538153564 | Jacqueline Ann Cox | Internal Medicine | 1640 Cowles St, Suite 1, Fairbanks, AK 99701-5992 | 2005-09-06 |
| 1215329529 | Britni Ranae Browning | Physician Assistant | 1640 Cowles St, Suite 1, Fairbanks, AK 99701-5925 | 2015-02-23 |
| 1669587036 | Nancy Lee Schupp | Nurse Practitioner | 1640 Cowles St, Suite 1, Fairbanks, AK 99701-5925 | 2006-08-19 |
| 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 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538153564 | Jacqueline Ann Cox | Internal Medicine | 1640 Cowles St, Suite 1, Fairbanks, AK 99701-5992 | 2005-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538636865 | Bradley Robert Schmidt | Internal Medicine | 6623 E Blue Lupine Dr, Palmer, AK 99645-5903 | 2018-10-24 |
| 1043345259 | Anchorage Oncology Centre,llc | Internal Medicine | 4231 Lake Otis Pkwy, Suite B2, Anchorage, AK 99508-5214 | 2007-02-21 |
| 1174576490 | Musaberk Goksel | Internal Medicine | 188 W Northern Lights Blvd Ste 800, Anchorage, AK 99503-3984 | 2006-05-18 |
| 1184605313 | Susan C. Delgalvis | Internal Medicine | 3851 Piper St, U340, Anchorage, AK 99508 | 2005-11-05 |
| 1104818913 | James Morgan Sprott Jr. | Internal Medicine | 6721 Samuel Ct, Anchorage, AK 99516-2412 | 2005-08-17 |
| 1770967598 | Midnight Sun Oncology Partners, LLC | Internal Medicine | 2490 S Woodworth Loop, Suite 499, Palmer, AK 99645-7410 | 2015-07-10 |
| 1386059061 | Natalie Hale Wallace | Internal Medicine | 2925 Debarr Rd Ste 300, Anchorage, AK 99508-2974 | 2014-06-21 |
| 1518221977 | Anusiyanthan Mariampillai | Internal Medicine | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2012-07-01 |
| 1942478854 | Anchorage Associates In Radiation Medicine, Ll | Internal Medicine | 3851 Piper Street, Tower U Suite Ll002, Anchorage, AK 99508 | 2008-02-13 |
| 1194875831 | Colleen Kersgard | Internal Medicine | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2007-01-12 |
| Find all providers with the same taxonomy | ||||
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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.