DR. KELTON MANOR THOMAS (NPI# 1639496243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639496243 |
| Entity Type | Individual |
| Full Name | DR. KELTON MANOR THOMAS |
| Credential | M.D. |
| Practice Address |
5855 Zeamer Ave Anchorage AK 99506 |
| Practice Telephone | 9075803205 |
| Mailing Telephone | 9075803205 |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2018-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
0101251812 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5855 Zeamer Ave, Anchorage, AK 99506 | 9075803205 |
| Street Address |
5855 ZEAMER AVE |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538797279 | Mark Pulver | Social Worker | 673mdg, Zeamer Avenue, Joint Base Elmendorf-richardson, AK 99506 | 2020-03-30 |
| 1871052837 | Ryan Kenny Zarnowski | Dentist | 673 Mdg, 5955 Zeamer Avenue, Jber, Ak 99506, Apo, AA 99506 | 2019-03-18 |
| 1679056659 | Bennett Robert Stadler | Physician Assistant | 673 Mdg 5955 Zeamer Avenue, Jber, AK 99506 | 2018-09-14 |
| 1437678687 | Mary Ann Barnard | Nurse Practitioner | Joint Base Elmendorf-richardson Hospital, 5955 Zeamer Ave, Anchorage, AK 99506 | 2017-09-19 |
| 1205375698 | Kuuipo Lau | Social Worker | 673d Mdg, 5955 Zeamer Ave., Jber, AK 99506 | 2017-02-17 |
| 1427434315 | Vance Knauer | Dentist | 673mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-08-03 |
| 1295112159 | Jacob Eby | Pediatrics | 673 Mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-04-29 |
| 1174956338 | Scott M Cheney | Physical Therapist | 673mdg, 5955 Zeamer Ave, Jber, AK 99506 | 2013-08-12 |
| 1518305580 | Jennifer Lynn Robison | Physician Assistant | 65955 Zeamer Avenue, Jber, AK 99506 | 2013-06-12 |
| 1588939664 | Paul Aaron Garrett | Emergency Medicine | 673rd Mdg, 5955 Zeamer Avenue, Jber, Apo, AA 99506 | 2012-03-21 |
| Find all providers in zip 99506 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988549 | Daniel J Mardones Md Inc | Psychiatry & Neurology | 2523 Debarr Road, Anchorage, AK 99508-2948 | 2020-10-05 |
| 1275665085 | Phillip Neuberger | Psychiatry & Neurology | 3201 C St, Suite 302, Anchorage, AK 99503-3917 | 2007-03-09 |
| 1033263439 | Michael D Robertson | Psychiatry & Neurology | 1709 Bragaw St, Suite A, Anchorage, AK 99508-3436 | 2007-01-22 |
| 1780793448 | Alina Nicole Schneider | Psychiatry & Neurology | 1650 South Bragaw Street, Anchorage, AK 99508 | 2006-08-29 |
| 1982625596 | Lina Judith Bautista | Psychiatry & Neurology | 2800 Providence Dr, Anchorage, AK 99508-4623 | 2006-07-21 |
| 1194705475 | Daniel Mardones | Psychiatry & Neurology | 2530 Debarr Rd, Anchorage, AK 99508-2948 | 2006-01-20 |
| 1770583932 | Claudia Berenson | Psychiatry & Neurology | 4001 Dale St Ste 101, Anchorage, AK 99508-5444 | 2005-07-28 |
| 1285055731 | Baisi Psychiatric Services LLC | Psychiatry & Neurology | 2530 Debarr Rd, Anchorage, AK 99508-2948 | 2013-12-31 |
| 1013296755 | Frontier Health Services, P.C. | Psychiatry & Neurology | 4241 B Street, Suite 305, Anchorage, AK 99503 | 2011-08-12 |
| 1114117272 | Phillip W Neuberger Md LLC | Psychiatry & Neurology | 3201 C St, Suite 302, Anchorage, AK 99503-3961 | 2007-07-25 |
| Find all providers in ANCHORAGE | ||||
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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.