MAD DOGS & ENGLISHMEN (NPI# 1770737546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770737546 |
| Entity Type | Organization |
| Organization Name | MAD DOGS & ENGLISHMEN |
| Other Organization Name | MAD DOGS & ENGLISHMEN |
| Practice Address |
5900 W. Locksley Loop Wasilla AK 99654-0837 |
| Mailing Address |
7362 W Parks Hwy Box 204 Wasilla AK 99654-9132 |
| Practice Telephone | 9073577477 |
| Practice Fax Number | 9073577477 |
| Mailing Telephone | 9073577477 |
| Mailing Fax Number | 9073577477 |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-12-02 |
| Authorized Official Name | MR. DANIEL S KILANOWSKI (OWNER) |
| Authorized Official Telephone | 9073577477 |
| Authorized Official Credential | CARE COORDINATOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 741871 | AK | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | NPI | 1851518815 | 01 |
| Other Name | Type Code |
|---|---|
| Mad Dogs & Englishmen | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538565981 | Mad Dogs & Englishmen | Case Manager/Care Coordinator | 5900 W Locksley Loop, Wasilla, AK 99623-0837 | 2014-11-12 |
| Street Address |
5900 W. LOCKSLEY LOOP |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-0837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720225550 | Sandra E Kilanowski | Point of Service | 7362 W Parks Hwy # 204, Wasilla, AK 99654-9132 | 2009-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962028803 | Wendy Carolina Winfield | Point of Service | 13941 Fire Creek Trail Dr, Eagle River, AK 99577-7029 | 2020-06-16 |
| 1043858210 | Nome Public Schools | Point of Service | 2920 3.5 Nome-teller Hwy, Nome, AK 99762 | 2019-12-18 |
| 1982266953 | Hatch Squared Enterprises LLC | Point of Service | 6723 Lunar Dr, Anchorage, AK 99504-4575 | 2019-06-30 |
| 1659789873 | Kathy Kim | Point of Service | 2305 Leander Cir, Anchorage, AK 99515-2539 | 2014-07-31 |
| 1811179302 | Alpenglow Acupuncture, LLC | Point of Service | 3343 Fairbanks St, Anchorage, AK 99503-4145 | 2007-11-27 |
| 1467794115 | Ark of Caring Living Assisted Home | Point of Service | 2301 Canary Ct, Anchorage, AK 99515-1402 | 2013-03-20 |
| 1881966844 | Hearts and Hands of Care Inc | Point of Service | 8130 Old Seward Hwy, Suite 103, Anchorage, AK 99518-3358 | 2012-02-06 |
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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.