ADVANCED SONOGRAMS OF ALASKA, INC. (NPI# 1417155987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417155987 |
| Entity Type | Organization |
| Organization Name | ADVANCED SONOGRAMS OF ALASKA, INC. |
| Practice Address |
4200 Lake Otis Pkwy Suite 103 Anchorage AK 99508-5215 |
| Mailing Address |
Po Box 142502 Anchorage AK 99514-2502 |
| Practice Telephone | 9075623111 |
| Practice Fax Number | 9075623136 |
| Mailing Telephone | 9075623111 |
| Mailing Fax Number | 9075623136 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2008-07-18 |
| Authorized Official Name | MR. SCOTT F PICKETT (OWNER) |
| Authorized Official Telephone | 9075623111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4200 LAKE OTIS PKWY SUITE 103 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487645297 | Susan L Donohue | Nurse Practitioner | 4200 Lake Otis Pkwy, Suite 202, Anchorage, AK 99508-5215 | 2005-11-01 |
| 1669861753 | Anchorage Dental Care, LLC | Dentist | 4200 Lake Otis Pkwy, 201, Anchorage, AK 99508-5226 | 2015-01-13 |
| 1427454180 | Anna Berit Alcorn | Hearing Instrument Specialist | 4200 Lake Otis Pkwy, Suite 302, Anchorage, AK 99508-5226 | 2014-11-07 |
| 1801228788 | Heide Provencher | Nurse Practitioner | 4200 Lake Otis Pkwy, Anchorage, AK 99508-5226 | 2013-08-02 |
| 1205176245 | Ravenwood Healthcare LLC | Nurse Practitioner | 4200 Lake Otis Pkwy, 202, Anchorage, AK 99508-5226 | 2013-02-28 |
| 1376838714 | Christy Mary Jen | Dentist | 4200 Lake Otis Pkwy, Anchorage, AK 99508 | 2011-06-14 |
| 1417267337 | Anchorage Pediatric Dentistry, Inc | Dentist | 4200 Lake Otis Pkwy, Suite 102, Anchorage, AK 99508-5226 | 2010-10-13 |
| 1366764359 | Stephen G. Howard, Dds, Inc | Dentist | 4200 Lake Otis Pkwy, Suite #201, Anchorage, AK 99508-5226 | 2010-02-18 |
| 1912166240 | Theobold Gregory Remaklus | Dentist | 4200 Lake Otis Pkwy, Suite 102, Anchorage, AK 99508-5226 | 2008-06-02 |
| 1699952358 | Alaska Family Wellness Center Inc | Exclusive Provider Organization | 4200 Lake Otis Pkwy, Suite 304, Anchorage, AK 99508-5226 | 2008-01-24 |
| 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 | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487184487 | Jennifer Mikkelsen | Radiologic Technologist | 1700 E Bogard Rd Ste A200, Wasilla, AK 99654-6569 | 2017-06-13 |
| 1992995260 | Gene George Brown | Radiologic Technologist | 35555 Spur Hwy, #163, Soldotna, AK 99669-7625 | 2007-08-01 |
| 1255824801 | Real Time Inc | Radiologic Technologist | 1700 E Bogard Rd Ste A200, Wasilla, AK 99654 | 2018-06-08 |
| 1023548021 | Christi Mae Goff | Radiologic Technologist | 1700 E Bogard Rd Ste 200, Wasilla, AK 99654-6563 | 2017-06-13 |
| 1346555844 | Real Time II LLC | Radiologic Technologist | 1700 E Bogard Rd # 101, Wasilla, AK 99654-6563 | 2010-08-10 |
| 1134326457 | Deanna G Burrows | Radiologic Technologist | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2007-06-29 |
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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.