MULDOON DEVELOPMENT PARTNERS LLC (NPI# 1639554017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639554017 |
Entity Type | Organization |
Organization Name | MULDOON DEVELOPMENT PARTNERS LLC |
Other Organization Name | TUDOR DIALYSIS |
Practice Address |
2735 E Tudor Rd Anchorage AK 99507-1135 |
Practice Telephone | 9075621546 |
Practice Fax Number | 9075621526 |
Mailing Telephone | 9075621546 |
Mailing Fax Number | 9075621526 |
Enumeration Date | 2015-07-27 |
Last Update Date | 2016-12-02 |
Authorized Official Name | MARK FAWCETT (TREASURER) |
Authorized Official Telephone | 7816999000 |
Is Organization Subpart | Y |
Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
AK | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Tudor Dialysis | Doing Business As Name - Organization |
Street Address |
2735 E TUDOR RD |
City | ANCHORAGE |
State | AK |
Zip Code | 99507-1135 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417977091 | Cathleen Marie Ross | Registered Nurse | 2735 E Tudor Rd, Anchorage, AK 99507-1135 | 2006-07-19 |
1225444185 | Dale Chinnery | Case Manager/Care Coordinator | 2735 E Tudor Rd, Anchorage, AK 99507-1135 | 2014-07-10 |
1194131243 | Edward Dewitt Jones Jr. | Case Manager/Care Coordinator | 2735 E Tudor Rd, Anchorage, AK 99507-1135 | 2014-07-09 |
1316361058 | Macaaron Hunter-lyons | Counselor | 2735 E Tudor Rd, Anchorage, AK 99507-1135 | 2014-02-18 |
1902140130 | Ciara Jordan Nicholson | Counselor | 2735 E Tudor Rd, Anchorage, AK 99507-1135 | 2012-11-09 |
1336425222 | Christine Flowers | Case Manager/Care Coordinator | 2735 E Tudor Rd, Anchorage, AK 99507-1135 | 2011-10-24 |
1992089072 | Anchorage Community Mental Health Services, Inc | Case Management | 2735 E Tudor Rd, Anchorage, AK 99507-1135 | 2011-10-06 |
1851687768 | Helen Kathleen O'neill | Counselor | 2735 E Tudor Rd, Anchorage, AK 99507-1135 | 2011-06-20 |
1346530037 | Sarah Clayton | Counselor | 2735 E Tudor Rd, Anchorage, AK 99507-1135 | 2011-04-14 |
1578866265 | Mandy Fowle | Social Worker | 2735 E Tudor Rd, Anchorage, AK 99507-1135 | 2010-12-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124634233 | Mackena Elsie Johnson | Massage Therapist | Sports & Spinal Injury Clinic, 6634 Lake Otis Pkwy #a, Anchorage, AK 99507 | 2020-09-23 |
1710599808 | Abracadabra Speech LLC | Speech-Language Pathologist | 6823 Tudor Road, Anchorage, AK 99507 | 2020-08-19 |
1487111241 | Fe Comon | Nursing Home Administrator | 1841 E 57th Ave., 1841 E 57th Ave., Anchorage, AK 99507 | 2019-02-27 |
1780171249 | Carol Won | Pharmacist | 2550 E. 88th Ave., Anchorage, AK 99507 | 2018-04-19 |
1821549411 | Isioma Nwaeme | Registered Nurse | 2529 Rives Court, Anchorage, AK 99507 | 2016-10-18 |
1669921268 | Michaelyn Scott | Massage Therapist | 1601 E. Dimond Blvd., Suite 201, Anchorage, AK 99507 | 2016-09-25 |
1013387638 | Robert R Croley | Case Manager/Care Coordinator | 1515 E Tudor Rd Ste 6, Anchorage, AK 99507 | 2015-09-25 |
1124494265 | Ryan Scott Fordt | Chiropractor | 2665 E Tudor Rd Ste 201, Anchorage, AK 99507 | 2015-08-12 |
1073907465 | Sarah E Lawrence | Case Manager/Care Coordinator | 1750 Abbott Road, Alzheimer's Resource of Alaska, Anchorage, AK 99507 | 2015-03-24 |
1699184507 | Melissa Lingad | Nurse's Aide | 7691 Winchester St., Anchorage, AK 99507 | 2014-08-05 |
Find all providers in zip 99507 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316206915 | Ad Partners II, LLC | Clinic/Center | 360 Boniface Pkwy, Suite A11, Anchorage, AK 99504-4900 | 2012-05-16 |
1154570067 | Fresenius Medical Care Southwest Anchorage, LLC | Clinic/Center | 9085 Blackberry Street, Anchorage, AK 99502-5308 | 2008-09-16 |
1841468535 | Liberty Dialysis - Alaska LLC | Clinic/Center | 901 E Dimond Blvd, Anchorage, AK 99515-2007 | 2008-02-14 |
1770695579 | Renal Care Group Alaska, Inc. | Clinic/Center | 3950 Laurel St, Anchorage, AK 99508-5333 | 2006-08-31 |
1780865741 | Liberty Dialysis - Ahp LLC | Clinic/Center | 4050 Lake Otis Pkwy, Suite 106, Anchorage, AK 99508-5212 | 2007-11-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801046362 | Fresenius Medical Care Soldotna, LLC | Clinic/Center | 289 North Fireweed, Soldotna, AK 99669-5333 | 2008-09-22 |
1689786485 | Renal Care Group Alaska, Inc. | Clinic/Center | 1863 Airport Way, Fairbanks, AK 99701-4007 | 2006-08-31 |
1497867295 | Renal Care Group Wasilla LLC | Clinic/Center | 3787 East Meridian Loop, Wasilla, AK 99654-7270 | 2006-08-31 |
1679912059 | Renal Care Group Alaska Fairbanks, LLC | Clinic/Center | 1863 Airport Way, Fairbanks, AK 99701-4007 | 2013-06-19 |
1215049010 | Dialysis Services of Southeast Alaska, LLC | Clinic/Center | 9109 Mendenhall Mall Rd, Suite 6, Juneau, AK 99801 | 2006-08-31 |
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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.