THAT'S MY PEDS GI PEDIATRIC GASTROENTEROLOGY, LLC (NPI# 1568704229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568704229 |
| Entity Type | Organization |
| Organization Name | THAT'S MY PEDS GI PEDIATRIC GASTROENTEROLOGY, LLC |
| Practice Address |
4120 Laurel St Suite 201 Anchorage AK 99508-5392 |
| Mailing Address |
Po Box 241769 Anchorage AK 99524-1769 |
| Practice Telephone | 9077436944 |
| Practice Fax Number | 9077430694 |
| Mailing Telephone | 9077702380 |
| Mailing Fax Number | 9077702341 |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2016-12-30 |
| Authorized Official Name | JOSEPH E BEATY (BILLING AGENT) |
| Authorized Official Telephone | 9077702380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
984995 | AK | Allopathic & Osteopathic Physicians |
| Street Address |
4120 LAUREL ST SUITE 201 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417934928 | Brian F Sweeney Md Apc | Internal Medicine | 4120 Laurel St, Ste 201, Anchorage, AK 99508 | 2005-12-27 |
| 1568846459 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 4120 Laurel St, Ste 103, Anchorage, AK 99508-5392 | 2015-07-10 |
| 1477996718 | Michael Albert Majchrowicz | Dentist | 4120 Laurel St, Suite # 203, Anchorage, AK 99508-5392 | 2013-04-16 |
| 1083867592 | Benjamin Patrick Westley | Internal Medicine | 4120 Laurel St, Ste 204, Anchorage, AK 99508-5392 | 2008-10-28 |
| 1588811426 | Robert Holt Jr. | Dentist | 4120 Laurel St, Suite 202, Anchorage, AK 99508-5592 | 2008-08-22 |
| 1730340647 | Richard Farleigh Md PC | Clinic/Center | 4120 Laurel St, Suite 202, Anchorage, AK 99508-5392 | 2008-06-23 |
| 1508058686 | Aron S Wolf | Psychiatry & Neurology | 4120 Laurel St, Anchorage, AK 99508-5392 | 2007-08-13 |
| 1821295999 | Physician Associates LLC | Psychiatry & Neurology | 4120 Laurel St, Suite 101, Anchorage, AK 99508-5335 | 2007-06-30 |
| 1194882282 | Gregory John Semancik | Pediatrics | 4120 Laurel St, Suite 201, Anchorage, AK 99508-5392 | 2007-01-02 |
| 1033130935 | Richard Merle Farleigh | Internal Medicine | 4120 Laurel St, Suite 202, Anchorage, AK 99508-5335 | 2006-07-23 |
| 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 | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710150545 | Padade Maria Vue | Pediatrics | 3340 Providence Dr Ste A-567, Anchorage, AK 99508-4691 | 2008-04-13 |
| 1417084229 | Charles Allan Pratt | Pediatrics | 3340 Providence Dr, Suite 567, Anchorage, AK 99508-4616 | 2007-02-28 |
| 1962539775 | Pediatric Gastroenterology of Alaska, LLC | Pediatrics | 3340 Providence Dr, Suite 567, Anchorage, AK 99508-4616 | 2007-02-28 |
| 1194882282 | Gregory John Semancik | Pediatrics | 4120 Laurel St, Suite 201, Anchorage, AK 99508-5392 | 2007-01-02 |
| 1457333247 | Claire Marie Wilson | Pediatrics | 3340 Providence Dr, Tower A, Suite 567, Anchorage, AK 99508-4691 | 2005-11-16 |
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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.