U.S. HEALTHWORKS MEDICAL GROUP OF ALASKA, LLC (NPI# 1730639436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730639436 |
| Entity Type | Organization |
| Organization Name | U.S. HEALTHWORKS MEDICAL GROUP OF ALASKA, LLC |
| Practice Address |
17101 Snowmobile Ln Suite 102 Eagle River AK 99577-7043 |
| Mailing Address |
25124 Springfield Ct Suite 200 Valencia CA 91355-1085 |
| Practice Telephone | 9076947223 |
| Practice Fax Number | 9076965123 |
| Mailing Telephone | 6616782600 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |
| Authorized Official Name | MR. JOSEPH T MALLAS (PRESIDENT) |
| Authorized Official Telephone | 6616782600 |
| Is Organization Subpart | Y |
| Parent Organization Name | U.S. HEALTHWORKS MEDICAL GROUP OF ALASKA, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053862607 | U.S. Healthworks Medical Group of Alaska, LLC | Family Medicine | 4100 Lake Otis Pkwy, Suite 322, Anchorage, AK 99508-5229 | 2016-10-19 |
| 1043761695 | U.S. Healthworks Medical Group of Alaska, LLC | Clinic/Center | 4100 Lake Otis Pkwy, Suite 100, Anchorage, AK 99508-5229 | 2016-10-19 |
| 1063962769 | U.S. Healthworks Medical Group of Alaska, LLC | Family Medicine | 12350 Industry Way, Suite 160, Anchorage, AK 99515-4300 | 2016-10-06 |
| 1922558527 | U.S. Healthworks Medical Group of Alaska, LLC | Clinic/Center | 1867 Airport Way, Suite 130b, Fairbanks, AK 99701-4054 | 2016-10-06 |
| 1841270337 | U.S. Healthworks Medical Group of Alaska, LLC | Clinic/Center | 25124 Springfield Ct, Suite 200, Valencia, CA 91355-1085 | 2006-01-19 |
| Street Address |
17101 SNOWMOBILE LN SUITE 102 |
| City | EAGLE RIVER |
| State | AK |
| Zip Code | 99577-7043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699743484 | Select Physical Therapy Holdings Inc | Clinic/Center | 17101 Snowmobile Ln, Suite 202, Eagle River, AK 99577-7043 | 2006-03-09 |
| 1124365622 | Allen Dental Group LLC | Dentist | 17101 Snowmobile Ln, Suite 107, Eagle River, AK 99577-7043 | 2013-01-04 |
| 1871810408 | Heather Ann Mclain | Physical Therapist | 17101 Snowmobile Ln, Suite 202, Eagle River, AK 99577-7043 | 2010-04-21 |
| 1851625669 | Trudy Reder | Counselor | 17101 Snowmobile Ln, Eagle River, AK 99577 | 2009-09-25 |
| 1750519849 | Christy Sandra Allwein | Physical Therapist | 17101 Snowmobile Ln, Eagle River, AK 99577-7043 | 2009-06-26 |
| 1548294192 | Bradford C Allen | Dentist | 17101 Snowmobile Ln, Suite 107, Eagle River, AK 99577-7043 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831758333 | Dianne E Lyons | Behavior Technician | 16331 Heritage Place, Suite 101, Eagle River, AK 99577 | 2019-06-07 |
| 1073007209 | Center for Natural Medicine, Inc. | Acupuncturist | 16844 Easy St, Eagle River, AK 99577 | 2018-06-20 |
| 1538652748 | Shelly Rana Budde | Nurse Practitioner | 19139 Upper Skyline Dr, Eagle River, AK 99577 | 2018-06-12 |
| 1700387529 | Aaron Wesley Jones | Behavior Technician | 16941 Notrh Eagle River Loop Road, Eagle River, Ak, AK 99577 | 2018-02-27 |
| 1033641881 | Sierra Bracken | Massage Therapist | 12812 Old Glenn Hwy, Ste C3, Eagle River, AK 99577 | 2017-03-31 |
| 1699213231 | Jolene Denee Rogers | Counselor | 13620 Old Glenn Hwy, Ste C, Eagle River, AK 99577 | 2017-02-02 |
| 1881040962 | Elizabeth Hanson | Behavioral Analyst | 16941 North Eagle River Loop Road, Suite 3, Eagle River, AK 99577 | 2016-05-09 |
| 1023496148 | Joel Richard Wallace | Dentist | 16727 Farm Avenue, Eagle River, AK 99577 | 2015-05-08 |
| 1184019663 | Nicole Christine Newman | Physician Assistant | 11432 Business Blvd., Suite 4, Eagle River, AK 99577 | 2015-04-01 |
| 1417365362 | Tammi Smith | Community Health Worker | 16510 Centerfield Dr B 107, Eagle River, AK 99577 | 2014-07-23 |
| Find all providers in zip 99577 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194711457 | Karen Lee Morrissette | Preventive Medicine | 508 Chase Ave, Cordova, AK 99574 | 2005-09-22 |
| City | EAGLE RIVER |
| Zip Code | 99577 |
Please comment or provide details below to improve the information on U.S. HEALTHWORKS MEDICAL GROUP OF ALASKA, LLC.
| 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.