KATMAI ONCOLOGY GROUP, LLC (NPI# 1821030206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821030206 |
| Entity Type | Organization |
| Organization Name | KATMAI ONCOLOGY GROUP, LLC |
| Practice Address |
3851 Piper Street #u340 Anchorage AK 99508-4627 |
| Mailing Address |
3851 Piper St #u340 Anchorage AK 99508-4684 |
| Practice Telephone | 9075620321 |
| Practice Fax Number | 9075622683 |
| Mailing Telephone | 9075620321 |
| Mailing Fax Number | 9075622683 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2012-08-15 |
| Authorized Official Name | NIKKI L. THORSON (BILLING MANAGER) |
| Authorized Official Telephone | 9076775826 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MDG5261 | 05 |
| Street Address |
3851 PIPER STREET #U340 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-4627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912311259 | Katelyn R Good | Internal Medicine | 3851 Piper Street, Suite U Tower Ll002, Anchorage, AK 99508 | 2014-06-15 |
| 1730492588 | William Jared Magnuson | Radiology | 3851 Piper Street, Anchorage, AK 99507 | 2010-07-22 |
| 1942478854 | Anchorage Associates In Radiation Medicine, Ll | Internal Medicine | 3851 Piper Street, Tower U Suite Ll002, Anchorage, AK 99508 | 2008-02-13 |
| 1891715942 | Shannon Smiley | Internal Medicine | 3851 Piper Street, U340, Anchorage, AK 99508-4627 | 2006-07-20 |
| 1114946076 | Ronald John Boisen | Internal Medicine | 3851 Piper Street, Suite U466, Anchorage, AK 99508-6905 | 2006-07-19 |
| 1013945948 | Daryl M. Mcclendon | Internal Medicine | 3851 Piper Street, Suite U466, Anchorage, AK 99508-6905 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740221225 | John Thomas Zimmermann | Internal Medicine | 2490 S Woodworth Loop, #499, Palmer, AK 99645-7405 | 2006-06-08 |
| 1740243914 | Lawrence J Lawson | Internal Medicine | 2490 S Woodworth Loop, Suite 499, Palmer, AK 99645-7405 | 2006-04-10 |
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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.