MARA JUSTINE BECKER


Address: 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701, UM
Phone: 9074528251

MARA JUSTINE BECKER (NPI# 1578957460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578957460
Entity Type Individual
Full Name MARA JUSTINE BECKER
Credential PA-C
Practice Address 1717 W. Cowles St
Fairbanks
AK- ALASKA 99701
UM
Mailing Address 122 1st Ave
Fairbanks
AK 99701-4871
Practice Telephone 9074528251
Practice Fax Number 9074593950
Mailing Telephone 9074528251
Mailing Fax Number 9074593950
Enumeration Date 2015-03-27
Last Update Date 2019-07-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 60535341 WA Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
2418 AK Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
Gateway To Recovery, 650 Yonker Court, Fairbanks, AK 99701 9074526251

Other Providers MARA BECKER

NPI Name Taxonomy Address Enumeration
1538179700 Mara Leigh Becker Pediatrics 2401 Gillham Rd, Section of Rheumatology, Kansas City, MO 64108-4619 2006-08-09

Office Location

Street Address 1717 W. COWLES ST
City FAIRBANKS
State AK- ALASKA
Zip Code 99701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437637790 Richard Gyamfi Registered Nurse 1717 W. Cowles St, Fairbanks, AK 99701-5926 2018-07-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659984987 Resource Center for Parents & Children, Inc. Social Worker 726 26th Ave, Suite #2, Fairbanks, AK 99701 2020-08-26
1134738982 Aaron Paul Sarauer Behavior Technician 3121 Lathrop St., Fairbanks, AK 99701 2020-07-28
1437715505 Fabienne Rose Marie Siddall Case Manager/Care Coordinator 122 1st Avenue, Fairbanks, AK 99701 2019-05-14
1902461957 Jacqueline Marie Rahm Counselor Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 2019-05-06
1821588989 Corrie Wilson Nurse Practitioner 1025 Barnette Street, Fairbanks, AK 99701 2018-05-15
1922519305 Sarishma Sangeeta Lal Registered Nurse 815 2nd Ave Ste 122, Fairbanks, AK 99701 2017-10-12
1245690569 Christine L Simko Naturopath 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 2016-02-29
1932581600 Jennifer Davis Registered Nurse 1025 West Barnette St., Fairbanks, AK 99701 2015-06-18
1700272705 John D. Zipperer Jr Md, LLC Clinic/Center 751 Old Richardson Hwy., Fairbanks, AK 99701 2015-04-07
1255724464 Andrea Dubenezic Registered Nurse 1025 W. Barnette St., Fairbanks Regional Public Health Center, Fairbanks, AK 99701 2015-03-12
Find all providers in zip 99701

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801314596 Sara Breann Langford Physician Assistant 575 Riverstone Way Unit 1, Fairbanks, AK 99709-2939 2017-09-01
1033451703 Allison Cooper Physician Assistant 2310 Peger Rd Suite 105, Fairbanks, AK 99709-4848 2013-03-20
1487928784 Michael Jon Voorhees Physician Assistant 1717 Cowles Street, Fairbanks, AK 99701 2012-03-05
1487926218 Steven Lee Craddick Physician Assistant 1867 Airport Frontage Road, Suite B (u.s. Healthworks Alaska), Fairbanks, AK 99701-1867 2012-02-09
1245491125 Bridget Anne Johnson Physician Assistant 3875 Geist Rd, Suite E381, Fairbanks, AK 99709-3549 2008-06-23
1720092067 Sylvia Ann Mccormick Physician Assistant 1008 16th Ave Ste 100, Fairbanks, AK 99701-6078 2006-07-29
1982627667 Lindsay Leland Roberts Physician Assistant 2166 Yellow Leaf Ct, Fairbanks, AK 99709-6278 2006-07-25
1427078161 Judy Lynn Lowe Physician Assistant 1867 Airport Way Ste 130b, Fairbanks, AK 99701-4056 2006-07-19
1689625964 Van E Lamore Physician Assistant 3745 Geist Rd, Fairbanks, AK 99709-3554 2006-05-12
1023091618 Caryn Scott Physician Assistant 201 1st Ave, Suite 200, Fairbanks, AK 99701-4848 2005-11-28
Find all providers in FAIRBANKS

Competitor

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City FAIRBANKS
Zip Code 99701

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Dataset Information

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.

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