MR. WILLIAM C SUNDBERG (NPI# 1578783411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578783411 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM C SUNDBERG |
| Credential | CPO, C. PED |
| Practice Address |
12201 Industry Way Suite D1 Anchorage AK 99515-4316 |
| Mailing Address |
Po Box 110510 Anchorage AK 99511 |
| Practice Telephone | 9075620560 |
| Practice Fax Number | 9075621617 |
| Mailing Telephone | 9075620560 |
| Mailing Fax Number | 9075621617 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2013-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | AK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | PO4558 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821150350 | William Pertti Sundberg | Dentist | 1925 E 5600 S, Holladay, UT 84121 | 2006-12-14 |
| Street Address |
12201 INDUSTRY WAY SUITE D1 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99515-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972968980 | Monica Miller | Physical Therapy Assistant | 12201 Industry Way, Ste 4, Anchorage, AK 99515-4316 | 2015-12-17 |
| 1598007205 | Northern Seawolf Holdings | Clinic/Center | 12201 Industry Way, Anchorage, AK 99515-4316 | 2013-03-20 |
| 1346422466 | Alchemy Orthotics & Prosthetics, LLC | Prosthetic/Orthotic Supplier | 12201 Industry Way, Suite D1, Anchorage, AK 99515-4316 | 2007-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891293239 | Above The Horizon LLC | Custodial Care Facility | 3300 Amber Bay Loop, Anchorage, AK 99515 | 2018-01-31 |
| 1689103004 | Kristine Troesch | Massage Therapist | 1130 W Dimond Blvd Suite D, Anchorage, AK 99515 | 2017-06-08 |
| 1710433610 | Yichen Chung | Physical Therapist | 9500 Canton Loop, Anchorage, AK 99515 | 2016-08-30 |
| 1093185175 | Lemon Tree Family Medicine, LLC | Family Medicine | 621 W., Dimond Anchorage, AK 99515 | 2015-10-01 |
| 1861891285 | Shawna J Mcelroy | Physician Assistant | 1389 Huffman Road, #150, Anchorage, AK 99515 | 2014-08-21 |
| 1003224189 | Kelly Cutrer | Pharmacist | 12045 Brandon St, Anchorage, AK 99515 | 2014-08-01 |
| 1922419449 | Shady Cook | Case Manager/Care Coordinator | 14041 Sunview Dr., Anchorage, AK 99515 | 2014-05-19 |
| 1699119941 | Lezlee Henry-dupoux | Social Worker | 1221 Huffman Park Drive, Anchorage, AK 99515 | 2013-04-17 |
| 1790035087 | Carmelite Home | Residential Treatment Facility, Physical Disabilities | 9401 Aphrodite Dr., Anchorage, AK 99515 | 2012-09-13 |
| 1982996344 | Richard L Day, Dds, Apc | Dentist | 10998 Omalley Centre Dr., Suite A, Anchorage, AK 99515 | 2011-05-04 |
| Find all providers in zip 99515 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235144619 | Munger Prosthetics and Orthotics, Inc | Prosthetic/Orthotic Supplier | 5701 Lake Otis Pkwy Ste 400, Anchorage, AK 99507-1778 | 2006-07-31 |
| 1487652335 | Alaska Orthopedics, Inc. | Prosthetic/Orthotic Supplier | 2028 E Northern Lights Blvd, Anchorage, AK 99508-4101 | 2005-07-13 |
| 1841464997 | Dr's Order,inc. | Prosthetic/Orthotic Supplier | 515 W Fireweed Ln, Anchorage, AK 99503-1927 | 2008-04-19 |
| 1346422466 | Alchemy Orthotics & Prosthetics, LLC | Prosthetic/Orthotic Supplier | 12201 Industry Way, Suite D1, Anchorage, AK 99515-4316 | 2007-11-30 |
| 1649318593 | Denali Orthopedis Inc | Prosthetic/Orthotic Supplier | 4100 Lake Otis Parkway, Suite 310, Anchorage, AK 99508 | 2007-02-02 |
| 1497780043 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 603 D St, Anchorage, AK 99501-3521 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942551429 | Munger Prosthetics and Orthotics, Inc. | Prosthetic/Orthotic Supplier | 3455 Rewak Dr Ste 101, Fairbanks, AK 99709-5024 | 2012-09-25 |
| 1376711549 | Southeast Alaska Prosthetics and Orthotics LLC | Prosthetic/Orthotic Supplier | 5193 Borch St, Ketchikan, AK 99901-9036 | 2008-02-11 |
| 1295930600 | Farthest North Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 3520 Industrial Ave, Fairbanks, AK 99701-7376 | 2007-06-15 |
| 1134461957 | Northern Orthopedics Inc | Prosthetic/Orthotic Supplier | 44604 Sterling Hwy, Unit A, Soldotna, AK 99669-7937 | 2013-03-19 |
| 1821346065 | Munger Prosthetics and Orthotics, Inc. | Prosthetic/Orthotic Supplier | 1700 E Bogard Rd, #104 Building B, Wasilla, AK 99654-6563 | 2012-08-20 |
| 1689920142 | Alchemy Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 1405 Kellum St, Suite 201, Fairbanks, AK 99701-4189 | 2012-08-01 |
| 1497932354 | Advanced Biomechanics Inc | Prosthetic/Orthotic Supplier | 215 N Fireweed St, Soldotna, AK 99669-7540 | 2008-01-23 |
| 1801002639 | Frontier Community Services | Prosthetic/Orthotic Supplier | 43335 Kalifornsky Beach Road, Suite 36, Soldotna, AK 99669-8280 | 2007-05-16 |
| 1528199254 | Sitka Physical Therapy | Prosthetic/Orthotic Supplier | 700 Katlian St Ste E, Sitka, AK 99835-7359 | 2007-03-07 |
Please comment or provide details below to improve the information on MR. WILLIAM C SUNDBERG.
| 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.