LAWRENCE JEDLICKA (NPI# 1508958521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508958521 |
Entity Type | Individual |
Full Name | LAWRENCE JEDLICKA |
Credential | MD |
Practice Address |
4001 Laurel St Anchorage AK 99508-5300 |
Practice Telephone | 9076771012 |
Practice Fax Number | 9075656001 |
Mailing Telephone | 9076771012 |
Mailing Fax Number | 9075656001 |
Enumeration Date | 2006-09-28 |
Last Update Date | 2018-03-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
069361 | GA | Allopathic & Osteopathic Physicians |
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
22378 | MS | Allopathic & Osteopathic Physicians |
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
43103 | KY | Allopathic & Osteopathic Physicians |
Street Address |
4001 LAUREL ST |
City | ANCHORAGE |
State | AK |
Zip Code | 99508-5300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487643169 | Jann Lee Urban | Anesthesiology | 4001 Laurel St, Suite 202, Anchorage, AK 99508-5300 | 2005-10-17 |
1922495407 | Denali Asthma and Pulmonary, LLC | Internal Medicine | 4001 Laurel St, Suite 206, Anchorage, AK 99508-5300 | 2015-04-22 |
1144612714 | Anchorage Surgicenter, LLC | Clinic/Center | 4001 Laurel St, Suite A, Anchorage, AK 99508-5300 | 2015-02-19 |
1861809311 | Alaskan Legacy Podiatric Foot & Ankle Specialist LLC | Podiatrist | 4001 Laurel St, Suite 209, Anchorage, AK 99508-5300 | 2014-07-16 |
1437407277 | Alyeska Vascular Surgery LLC | Surgery | 4001 Laurel St, Ste 204, Anchorage, AK 99508 | 2012-08-28 |
1265795983 | Urban Anesthesiology, P.c | Anesthesiology | 4001 Laurel St, Suite 202, Anchorage, AK 99508-5300 | 2012-06-18 |
1255604948 | New Frontier Anesthesia, LLC | Anesthesiology | 4001 Laurel St, Suite A, Anchorage, AK 99508-5300 | 2012-02-11 |
1801043013 | Zachary John Steiner | Surgery | 4001 Laurel St, Ste 204, Anchorage, AK 99508-5300 | 2008-08-19 |
1861674285 | David D Beal Md PC | Otolaryngology | 4001 Laurel St, Ste 204, Anchorage, AK 99508-5300 | 2007-11-27 |
1952521346 | Douglas J Luiten | Dentist | 4001 Laurel St, Suite 208, Anchorage, AK 99508-5332 | 2007-04-26 |
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 | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770814923 | Jason E Polchinski | Psychiatry & Neurology | 3900 Ambassador Dr, Anchorage, AK 99508 | 2010-01-27 |
1578701033 | Marci L Troxell | Psychiatry & Neurology | 2841 Debarr Rd Ste 32, Anchorage, AK 99508-2967 | 2009-01-21 |
1710157995 | North Pacific Neuromonitoring Associates, P.C. | Psychiatry & Neurology | 2100 N Star St, Anchorage, AK 99503-1819 | 2008-03-04 |
1912078833 | Shirley H Fraser | Psychiatry & Neurology | 1200 I St, #704, Anchorage, AK 99501 | 2006-11-13 |
1801808969 | Stanford W. Downs | Psychiatry & Neurology | 2741 Debarr Rd Ste 413, Anchorage, AK 99508-2953 | 2006-08-13 |
1346200227 | Kim E Madden | Psychiatry & Neurology | 4141 B St, Suite 401, Anchorage, AK 99503-5940 | 2006-03-24 |
1972042612 | Alaska Inpatient Neurology Services, LLC | Psychiatry & Neurology | 2741 Debarr Rd, Suite 413, Anchorage, AK 99508-2961 | 2017-02-14 |
1528334539 | Alaska Sleep Disorder Center LLC | Psychiatry & Neurology | 3400 Latouche St, Suite 200, Anchorage, AK 99508-4208 | 2012-03-25 |
1366715245 | Graham Glass Md, LLC | Psychiatry & Neurology | 2440 E Tudor Rd, Pmb #1111, Anchorage, AK 99507-1185 | 2012-02-22 |
1225348592 | Christina Viola Darby | Psychiatry & Neurology | 3900 Ambassador Dr, Anchorage, AK 99508-5922 | 2010-10-20 |
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.