JOHN D. ZIPPERER, JR., M.D., LLC (NPI# 1528326626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528326626 |
| Entity Type | Organization |
| Organization Name | JOHN D. ZIPPERER, JR., M.D., LLC |
| Other Organization Name | JOHN D. ZIPPERER, JR., MD |
| Practice Address |
12641 Old Glenn Hwy 101 Eagle River AK 99577 |
| Mailing Address |
12641 Old Glenn Hwy 101 Eagle River AK 99508 |
| Practice Telephone | 9077702606 |
| Practice Fax Number | 9077702604 |
| Mailing Telephone | 9077702606 |
| Mailing Fax Number | 9077702604 |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2017-03-31 |
| Authorized Official Name | DR. JOHN DOUGLAS ZIPPERER JR. (OWNER/CEO) |
| Authorized Official Telephone | 9077702606 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
1001937 | AK | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
1001937 | AK | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| John D. Zipperer, Jr., MD | Doing Business As Name - Organization |
| Street Address |
12641 OLD GLENN HWY 101 |
| City | EAGLE RIVER |
| State | AK |
| Zip Code | 99577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245356245 | Enoch Nathan Ross | Dentist | 12641 Old Glenn Hwy, Suite 104, Eagle River, AK 99577-7039 | 2007-03-21 |
| 1053791665 | John D. Zipperer Jr Md, LLC | Clinic/Center | 12641 Old Glenn Hwy, Suite 101, Eagle River, AK 99577-7039 | 2015-06-09 |
| 1194163691 | Discovery Dental, LLC | Dentist | 12641 Old Glenn Hwy, Ste 203, Eagle River, AK 99577-7039 | 2013-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831758333 | Dianne E Lyons | Behavior Technician | 16331 Heritage Place, Suite 101, Eagle River, AK 99577 | 2019-06-07 |
| 1073007209 | Center for Natural Medicine, Inc. | Acupuncturist | 16844 Easy St, Eagle River, AK 99577 | 2018-06-20 |
| 1538652748 | Shelly Rana Budde | Nurse Practitioner | 19139 Upper Skyline Dr, Eagle River, AK 99577 | 2018-06-12 |
| 1700387529 | Aaron Wesley Jones | Behavior Technician | 16941 Notrh Eagle River Loop Road, Eagle River, Ak, AK 99577 | 2018-02-27 |
| 1033641881 | Sierra Bracken | Massage Therapist | 12812 Old Glenn Hwy, Ste C3, Eagle River, AK 99577 | 2017-03-31 |
| 1699213231 | Jolene Denee Rogers | Counselor | 13620 Old Glenn Hwy, Ste C, Eagle River, AK 99577 | 2017-02-02 |
| 1881040962 | Elizabeth Hanson | Behavioral Analyst | 16941 North Eagle River Loop Road, Suite 3, Eagle River, AK 99577 | 2016-05-09 |
| 1023496148 | Joel Richard Wallace | Dentist | 16727 Farm Avenue, Eagle River, AK 99577 | 2015-05-08 |
| 1184019663 | Nicole Christine Newman | Physician Assistant | 11432 Business Blvd., Suite 4, Eagle River, AK 99577 | 2015-04-01 |
| 1417365362 | Tammi Smith | Community Health Worker | 16510 Centerfield Dr B 107, Eagle River, AK 99577 | 2014-07-23 |
| Find all providers in zip 99577 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518300185 | Pain and Headache Center, LLC | Pain Medicine | 12836 Old Glenn Hwy Ste 2, Eagle River, AK 99577 | 2013-04-12 |
| 1407171069 | Northern Anesthesia and Pain Medicine, LLC | Pain Medicine | 10928 Eagle River Rd, Suite 240, Eagle River, AK 99577-8078 | 2010-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417996307 | Tamara Ann Brothers Mcneil | Pain Medicine | 100 Trading Bay Rd Ste 8, Kenai, AK 99611-7786 | 2006-06-06 |
| 1790776599 | Eric F Severson | Pain Medicine | 3066 E Meridian Park Loop Ste 207, Wasilla, AK 99654-7254 | 2005-10-31 |
| 1487102208 | Neuroversion | Pain Medicine | 2925 Debarr Rd, Suite 240, Anchorage, AK 99508-2959 | 2016-09-21 |
| 1609176783 | Algone Center | Pain Medicine | 3066 E Meridian Park Loop, #1, Wasilla, AK 99654-7299 | 2010-10-23 |
| City | EAGLE RIVER |
| Zip Code | 99577 |
Please comment or provide details below to improve the information on JOHN D. ZIPPERER, JR., M.D., LLC.
| 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.