DR. JEFFREY L SPONSLER (NPI# 1538206164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538206164 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY L SPONSLER |
| Credential | M.D. |
| Practice Address |
4551 E Bogard Rd Wasilla AK 99654-6075 |
| Practice Telephone | 9073736500 |
| Practice Fax Number | 8884560663 |
| Mailing Telephone | 9073736500 |
| Mailing Fax Number | 8884560663 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2012-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 5128 | AK | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD5128 | 05 |
| Street Address |
4551 E BOGARD RD |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-6075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710406822 | Cynthia Dunleavy | Physician Assistant | 4551 E Bogard Rd, Wasilla, AK 99654-6075 | 2017-09-11 |
| 1215390182 | Alison Armour | Nurse Practitioner | 4551 E Bogard Rd, Wasilla, AK 99654-6075 | 2016-03-30 |
| 1215130372 | Alaska Brain Center, LLC | Non-Pharmacy Dispensing Site | 4551 E Bogard Rd, Wasilla, AK 99654-6075 | 2007-06-07 |
| 1073650628 | Charlotte M Nelson | Nurse Practitioner | 4551 E Bogard Rd, Wasilla, AK 99654-6075 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497202279 | Devan Clark | Specialist | 3540 N Snow Goose Dr, Wasilla, AK 99654-2505 | 2016-09-08 |
| 1114323227 | Amy Mclane | Specialist | 2801 E Palmer Wasilla Hwy Ste C, Wasilla, AK 99654-7339 | 2014-11-17 |
| 1003111089 | Meda Ferrenburg | Specialist | 4420 E Grumman Cir, Wasilla, AK 99654-4363 | 2011-01-21 |
| 1679737589 | Howling Down The Moon | Specialist | 1375 E Parks Hwy Ste A, Wasilla, AK 99654-8288 | 2008-07-10 |
| 1508089046 | Medical Network of Alaska, LLC | Specialist | 3122 E Meridian Park Loop, Wasilla, AK 99654-7255 | 2007-04-11 |
| 1154418945 | Charles D. Layman | Specialist | 5050 Dunbar Drive, Suite D, Wasilla, AK 99654 | 2006-10-05 |
| 1649714353 | Tabatha Miller | Specialist | 436 N Main St, Wasilla, AK 99654-7018 | 2016-12-14 |
| 1699218651 | Wendy Denise Stover | Specialist | 436 N Main St, Wasilla, AK 99654-7018 | 2016-11-23 |
| 1639625957 | Candice Hilty | Specialist | 300 Main St, Wasilla, AK 99654 | 2016-08-28 |
| 1902350861 | Kerri Denney | Specialist | 300 N Main St, Wasilla, AK 99654-7017 | 2016-08-09 |
| Find all providers in WASILLA | ||||
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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.