JUNEAU OBSTETRICS AND GYNECOLOGY, P.C. (NPI# 1649362948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649362948 |
Entity Type | Organization |
Organization Name | JUNEAU OBSTETRICS AND GYNECOLOGY, P.C. |
Other Organization Name | NELL ANN WAGONER, M.D., P.C. |
Practice Address |
3268 Hospital Dr Ste B Juneau AK 99801-7800 |
Practice Telephone | 9075861717 |
Practice Fax Number | 9075862677 |
Mailing Telephone | 9075861717 |
Mailing Fax Number | 9075862677 |
Enumeration Date | 2006-09-28 |
Last Update Date | 2017-07-29 |
Authorized Official Name | DR. NICHOLAS D NEWBURY (OWNER) |
Authorized Official Telephone | 9075861717 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
2531 | AK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | 1020712 | 05 | |
AK | MD2531 | 05 |
Other Name | Type Code |
---|---|
Nell Ann Wagoner, M.D., P.C. | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184160905 | Juneau Obstetrics and Gynecology, P.C. | Clinic/Center | 3268 Hospital Dr, Suite B, Juneau, AK 99801-7800 | 2017-01-18 |
Street Address |
3268 HOSPITAL DR STE B |
City | JUNEAU |
State | AK |
Zip Code | 99801-7800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093241580 | Kayla Mcmaster | Registered Nurse | 3268 Hospital Dr Ste B, Juneau, AK 99801 | 2017-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
Find all providers in zip 99801 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639261969 | Nell Ann Wagoner | Obstetrics & Gynecology | 3268 Hospital Dr Suite B, Juneau, AK 99801-7808 | 2006-09-28 |
1891807814 | Carolyn Virden Brown | Obstetrics & Gynecology | 2231 Jordan Ave, Juneau, AK 99801-8050 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134640592 | Aurora Womens Healthcare, LLC | Obstetrics & Gynecology | 3750 E Country Field Cir Ste E, Wasilla, AK 99654-6659 | 2017-07-06 |
1912915117 | Susan M Lemagie | Obstetrics & Gynecology | 425 E Dahlia Ave, Suite J, Palmer, AK 99645 | 2006-08-03 |
1104433044 | Amber Michael | Obstetrics & Gynecology | 4001 Lake Otis Pkwy Ste 101, Anchorage, AK 99508-5200 | 2020-09-24 |
1962973271 | Alaska Center for Pain Relief Inc | Obstetrics & Gynecology | 865 N Seward Meridian Pkwy Ste 104, Wasilla, AK 99654-7241 | 2018-12-12 |
1275922346 | Alaska Center for Pain Relief Inc | Obstetrics & Gynecology | 3851 Piper St Ste U464, Anchorage, AK 99508 | 2015-01-13 |
1306155262 | Elizabeth Crow Md, LLC | Obstetrics & Gynecology | 129 E 7th Ave, Anchorage, AK 99501-3607 | 2010-09-27 |
1801086731 | Jerry M. Orren Md Apc | Obstetrics & Gynecology | 2751 Debarr Rd, Suite 360, Anchorage, AK 99508-2953 | 2007-07-26 |
1194928234 | John R Oliver Md PC | Obstetrics & Gynecology | 950 Bogard Rd, Wasilla, AK 99654-7105 | 2007-06-07 |
1801000534 | Ob Gyn Associates A Professional Corporation | Obstetrics & Gynecology | 4231 Lake Otis Pkwy, Anchorage, AK 99508-5214 | 2007-05-10 |
1902984198 | Jerry M. Orren | Obstetrics & Gynecology | 2841 Debarr Rd, Suite 25, Anchorage, AK 99508-2932 | 2006-11-02 |
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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.