FREDERICK SAMUEL GREENE (NPI# 1639241110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639241110 |
| Entity Type | Individual |
| Full Name | FREDERICK SAMUEL GREENE |
| Credential | PAC |
| Practice Address |
1000 Polivenia Tpke Saint Paul Island AK 99660 |
| Mailing Address |
Po Box 148 St Paul AK 99660-0148 |
| Practice Telephone | 9075468300 |
| Mailing Telephone | 9075468300 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2014-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | AK212 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1000 POLIVENIA TPKE |
| City | SAINT PAUL ISLAND |
| State | AK |
| Zip Code | 99660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013330901 | June Mcglashan-shabolin | Community Health Worker | 1000 Polvenia Turnpike Rd, St. Paul, AK 99660 | 2014-01-28 |
| 1376851261 | Pauline Rukovishnikoff | Community Health Worker | 1000 Polovenia Turnpike Road, St. Paul, AK 99660 | 2010-09-14 |
| 1053525915 | Aleutian Pribilof Islands Association Inc | Community Health Worker | 1000 Polovenia Turnpike Rd, St. Paul Island, AK 99660 | 2007-05-10 |
| 1952448227 | Barbra J Keller | Nurse Practitioner | 1000 Polovina, St Paul Island, AK 99660 | 2007-01-30 |
| 1538233788 | Nancy E Sydnam | Family Medicine | St Paul Health Center, 1990 Polovenia Turnpike, St Paul, AK 99660 | 2006-11-20 |
| 1821013673 | Aleutian Pribilof Islands Assoc Inc | Counselor | 1000 Polovenia Turnpike, St Paul Health Center Behavioral Health, St Paul, AK 99660 | 2006-07-13 |
| 1669093837 | Tribal Government of St. Paul Island | Counselor | 1000 Polovina Turnpike, St. Paul Island, AK 99660 | 2020-04-29 |
| 1124682091 | Aubrey Wegeleben | Counselor | 1000 Polovina Turnpike, Saint Paul, AK 99660 | 2019-04-26 |
| 1316419096 | Cara Paige Alexandra Lestenkof-mandregan | Community Health Worker | 1000 Polovina Turnpike, St. Paul Island, AK 99660 | 2018-12-19 |
| 1922555820 | Southcentral Foundation | Dentist | 1000 Polovina Turnpike, St Paul, AK 99660 | 2016-09-08 |
| Find all providers in zip 99660 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517226 | Robin Lynn Morris | Physician Assistant | 3275 Togiak St, Kenai, AK 99611-8483 | 2020-10-27 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1043775414 | Brandon James Wilson | Physician Assistant | Uscg Base Kodiak Rockmore-king Clinic, 200 Albatross Ave Bldg N-46, Kodiak, AK 99615-6810 | 2019-02-09 |
| 1679056659 | Bennett Robert Stadler | Physician Assistant | 673 Mdg 5955 Zeamer Avenue, Jber, AK 99506 | 2018-09-14 |
| 1427539261 | Aimee Johnson | Physician Assistant | 1640 Cowles St Ste 1, Fairbanks, AK 99701-5908 | 2018-08-28 |
| 1801376702 | Matthew Gerard Somma | Physician Assistant | 1-25 Attack Reconnaissance Bn, Fort Wainwright, AK 99703 | 2018-08-20 |
| 1215443122 | Denali Surgical Services, LLC | Physician Assistant | 12110 Business Blvd Ste 6 #410, Eagle River, AK 99577-7798 | 2017-12-15 |
| 1497274419 | Pearl Margaret Churchill | Physician Assistant | Usibelli Spur Road, Healy, AK 99743 | 2017-09-11 |
| 1912426040 | Ashley Boge | Physician Assistant | 2925 Debarr Rd Ste D350, Anchorage, AK 99508-2959 | 2017-09-09 |
| 1215455597 | Leigha Henry-waugh | Physician Assistant | 3724 Lincoln Ellsworth Ct Unit B, Anchorage, AK 99517-2354 | 2017-09-06 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL ISLAND |
| Zip Code | 99660 |
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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.