MAT-SU NEUROLOGY, LLC (NPI# 1578995304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578995304 |
| Entity Type | Organization |
| Organization Name | MAT-SU NEUROLOGY, LLC |
| Practice Address |
950 E Bogard Rd Suite 213 Wasilla AK 99654-7184 |
| Practice Telephone | 7346573942 |
| Enumeration Date | 2013-08-03 |
| Last Update Date | 2013-08-03 |
| Authorized Official Name | DR. DAVID DWIGHT BUCKLAND (MEMBER) |
| Authorized Official Telephone | 7346573942 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
992389 | AK | Ambulatory Health Care Facilities |
| Street Address |
950 E BOGARD RD SUITE 213 |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831188473 | Laura Jean Peterson | Pediatrics | 950 E Bogard Rd, Ste 233, Wasilla, AK 99654-7184 | 2005-10-17 |
| 1801314927 | Tracie East | Physical Therapist | 950 E Bogard Rd, Wasilla, AK 99654-7184 | 2017-09-08 |
| 1346776150 | Patricia B Payne | Nurse Practitioner | 950 E Bogard Rd, Suite #228, Wasilla, AK 99654-7184 | 2017-05-11 |
| 1578928628 | Gagnon Plastic and Reconstructive Surgery | Plastic Surgery | 950 E Bogard Rd, Suite 209, Wasilla, AK 99654-7184 | 2015-12-16 |
| 1659700292 | Hillary Ryan Linden | Physician Assistant | 950 E Bogard Rd, Suite 103, Wasilla, AK 99654-7184 | 2013-11-04 |
| 1114269313 | Odland Family Practice Clinic, LLC | Family Medicine | 950 E Bogard Rd, Suite 234, Wasilla, AK 99654-7184 | 2013-03-26 |
| 1619212479 | Janet L Shelley | Nurse Practitioner | 950 E Bogard Rd, Suite 233, Wasilla, AK 99654-7184 | 2012-12-05 |
| 1366752560 | Mat-su Valley IIi LLC | Internal Medicine | 950 E Bogard Rd, Suite 207, Wasilla, AK 99654-7184 | 2010-10-21 |
| 1700013570 | David Dwight Buckland | Psychiatry & Neurology | 950 E Bogard Rd, Suite 213, Wasilla, AK 99654-7184 | 2009-06-18 |
| 1497900278 | Rebecca J. Moore | Dietitian, Registered | 950 E Bogard Rd, Suite 207, Wasilla, AK 99654-7184 | 2008-11-20 |
| Find all providers in the same location | ||||
| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316104482 | Alaskan Natural Care, Inc. | Clinic/Center | 2090 E Palmer Wasilla Hwy, Wasilla, AK 99654-7204 | 2008-05-16 |
| 1740560176 | Sitting Swan LLC | Clinic/Center | 3161 E Palmer Wasilla Hwy, Wasilla, AK 99654-7271 | 2011-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014920 | Native Village of Scammon Bay | Clinic/Center | 103 Askinuk Street, Scammon Bay, AK 99662 | 2020-05-12 |
| 1699332676 | Occupational Health Centers of Alaska PC | Clinic/Center | 4100 Lake Otis Pkwy Ste 100, Anchorage, AK 99508-5230 | 2019-05-24 |
| 1679139596 | Empower Medical and Wellness | Clinic/Center | 1150 S Colony Way Ste 1, Palmer, AK 99645-6967 | 2019-05-16 |
| 1215419361 | The Get Well Experience | Clinic/Center | 6251 Tuttle Pl Ste 102, Anchorage, AK 99507-2099 | 2018-09-05 |
| 1275073876 | Anchorage Pediatric Night Clinic | Clinic/Center | 20209 Eagle River Rd, Eagle River, AK 99577-6800 | 2017-03-01 |
| 1083159164 | North Star Acupuncture LLC | Clinic/Center | 630 E 57th Pl, Anchorage, AK 99518-1305 | 2016-12-28 |
| 1780054031 | Essential Energy | Clinic/Center | 11027 Katlian Dr, Eagle River, AK 99577-8124 | 2015-09-30 |
| 1821476599 | Yukon-kuskokwim Health Corporation | Clinic/Center | 1260 A Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2015-05-13 |
| 1447640560 | Golden Friendship Home for Elderly | Clinic/Center | 9180 Aphrodite Dr, Anchorage, AK 99515-1499 | 2015-01-27 |
| 1265821359 | Southeast Alaska Regional Health Consortium | Clinic/Center | 1305 Craig-klawock Hwy, Craig, AK 99921 | 2015-01-13 |
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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.