DR. JESSICA ERIN SOTELO (NPI# 1487816476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487816476 |
| Entity Type | Individual |
| Full Name | DR. JESSICA ERIN SOTELO |
| Credential | MD |
| Practice Address |
Providence Medical Center Alaska, Anchorage Emergency D 3200 Providence Drive Anchorage AK 99508 |
| Mailing Address |
1850 Evangeline Lane Anchorage AK 99517 |
| Practice Telephone | 9072123111 |
| Mailing Telephone | 9072997977 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2020-07-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 7260 | AK | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144685 | Jessica Lindsay Sotelo | Social Worker | 1530 N Poinsettia Pl Apt 241, Los Angeles, CA 90046-7915 | 2020-08-11 |
| 1649787110 | Jessica Ann Sotelo | Counselor | 923 E Norfolk Ave, Norfolk, NE 68701 | 2018-01-05 |
| Street Address |
PROVIDENCE MEDICAL CENTER ALASKA, ANCHORAGE EMERGENCY D 3200 PROVIDENCE DRIVE |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427251008 | John Jay Everett | Emergency Medicine | 4315 Diplomacy Drive/emergency Dept, Alaska Native Medical Center, Anchorage, AK 99508-2511 | 2007-06-09 |
| 1982810925 | Nancy L Kragt | Emergency Medicine | 2741 Debarr Rd Bldg C, #403, Denali Emergency Medicine Assoc., Anchorage, AK 99508-2961 | 2007-05-15 |
| 1730392150 | Christopher Calvert | Emergency Medicine | 6471 Village Pkwy, Anchorage, AK 99504-3947 | 2007-05-08 |
| 1861433112 | Steven Lee Fineberg | Emergency Medicine | 3200 Providence Drive, Providence Ak Medical Center, Dept of Emergency Service, Anchorage, AK 99508 | 2006-06-09 |
| 1811370307 | Jared Vedros | Emergency Medicine | 786 D St, Anchorage, AK 98505 | 2015-07-02 |
| 1922493360 | John Daniel Ballew | Emergency Medicine | 4315 Diplomacy Dr, Anchorage, AK 99508 | 2015-04-02 |
| 1346632361 | Steven Ferrell | Emergency Medicine | 5955 Zeamer Ave, Anchorage, AK 99506-3702 | 2015-02-27 |
| 1740697069 | Obhg Alaska, P.C. | Emergency Medicine | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2014-07-18 |
| 1063830214 | William D Longhurst | Emergency Medicine | 4315 Diplomacy Dr, Anchorage, AK 99508 | 2014-04-04 |
| 1841636255 | Andrew Johnson | Emergency Medicine | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2013-05-14 |
| Find all providers in ANCHORAGE | ||||
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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.