IVA MICHELLE MILGRIM (NPI# 1528386414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528386414 |
| Entity Type | Individual |
| Full Name | IVA MICHELLE MILGRIM |
| Credential | PA-C |
| Practice Address |
3801 Lake Otis Pkwy Ste 300 Anchorage AK 99508-5234 |
| Mailing Address |
3801 Lake Otis Parkway Suite 300 Anchorage AK 99508 |
| Practice Telephone | 9075622277 |
| Practice Fax Number | 9075633460 |
| Mailing Telephone | (907) 562-2277 |
| Mailing Fax Number | 9075633460 |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1105 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1625721 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2925 Debarr Rd Ste 240, Attn Credentialing, Anchorage, AK 995082959 | 9073394650 |
| Street Address |
3801 LAKE OTIS PKWY STE 300 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871529990 | Orthoalaska, LLC | Internal Medicine | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2006-06-23 |
| 1467013771 | Daniel Ouellette | Physical Therapist | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2019-06-26 |
| 1710546874 | Sarah Caroline King | Massage Therapist | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2019-06-11 |
| 1730651514 | Peter Marbarger Jr. | Physician Assistant | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2018-12-18 |
| 1972070142 | Mari Carol Fugere | Occupational Therapist | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2018-10-25 |
| 1831612159 | Lillian Marie Sullivan | Massage Therapist | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508 | 2017-07-18 |
| 1225570864 | Elizabeth Seidl | Physical Therapist | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508 | 2016-11-14 |
| 1255889432 | Christina Waters | Physician Assistant | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2016-09-15 |
| 1508219205 | Mark Kasprowicz | Physical Therapist | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2016-07-18 |
| 1942652722 | Kevin Knight | Occupational Therapist | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2016-07-06 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972980639 | Jesika Harrell | Physician Assistant | 500 East Benson Blvd, Suite 103, Anchorage, AK 99623 | 2015-05-01 |
| 1770977571 | Audrey Christine Kelley | Physician Assistant | 9150 Jewel Lake Rd # B, Anchorage, AK 99502-5381 | 2015-03-19 |
| 1851799027 | Jennifer Anne Fayette | Physician Assistant | 2741 Debarr Rd Ste C302, Anchorage, AK 99508-2972 | 2014-12-19 |
| 1053667956 | Heather Cherie Pollard | Physician Assistant | 4000 Ambassador Drive, Chap Training, Anchorage, AK 99508 | 2012-07-28 |
| 1033447909 | Gregory Scott Hackenbruch | Physician Assistant | 2741 Debarr Road, Suite 307, Anchorage, AK 99508 | 2009-12-03 |
| 1265553481 | Joanie Randle | Physician Assistant | 3330 Arctic Blvd, Anchorage, AK 99503-4523 | 2007-04-03 |
| 1568587517 | William D Crabtree Sr. | Physician Assistant | 6436 Southpointe Ridge Dr, Anchorage, AK 99516-6219 | 2007-03-20 |
| 1245315779 | Carl Lester Brown Jr. | Physician Assistant | 300 West Dimond Blvd., Suite 12, Anchorage, AK 99515 | 2006-10-25 |
| 1952497547 | John Burton Henley II | Physician Assistant | 1500 Debarr Rd, Vamroc Outpatient Clinic, Anchorage, AK 99514-3707 | 2006-10-04 |
| 1700990371 | Clayton E Langland | Physician Assistant | 9525 King St., Medical Department - Lipinski, Anchorage, AK 99515-0000 | 2006-08-19 |
| 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.