CORDERO ALLAN WADE-GONZALES (NPI# 1821643412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821643412 |
| Entity Type | Individual |
| Full Name | CORDERO ALLAN WADE-GONZALES |
| Practice Address |
1231 Gambell St Ste 300 Anchorage AK 99501-4664 |
| Practice Telephone | 9073334343 |
| Practice Fax Number | 9073334383 |
| Mailing Telephone | 9073334343 |
| Mailing Fax Number | 9073334383 |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1231 GAMBELL ST STE 300 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99501-4664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548452519 | Clare Louise Maxwell | Psychiatry & Neurology | 1231 Gambell St Ste 300, Anchorage, AK 99501 | 2007-08-14 |
| 1811511124 | Choices, Inc | Counselor | 1231 Gambell St Ste 300, Anchorage, AK 99501-4664 | 2020-06-02 |
| 1982247748 | Joshua C. Miller | Counselor | 1231 Gambell St Ste 300, Anchorage, AK 99501-4664 | 2019-10-24 |
| 1437792272 | Brian Leroy Madsen | Peer Specialist | 1231 Gambell St Ste 300, Anchorage, AK 99501-4664 | 2019-10-24 |
| 1023659844 | Neil Mahmood Gallagher | Case Manager/Care Coordinator | 1231 Gambell St Ste 300, Anchorage, AK 99501-4664 | 2019-10-02 |
| 1962043992 | Kisa N Haywood | Peer Specialist | 1231 Gambell St Ste 300, Anchorage, AK 99501-4664 | 2019-10-01 |
| 1699325209 | Carol Jane Wolfe | Registered Nurse | 1231 Gambell St Ste 300, Anchorage, AK 99501-4664 | 2019-09-16 |
| 1508415209 | Kamaree Altaffer | Social Worker | 1231 Gambell St Ste 300, Anchorage, AK 99501-4664 | 2019-09-05 |
| 1295389245 | Joseph David Oliver | Case Manager/Care Coordinator | 1231 Gambell St Ste 300, Anchorage, AK 99501-4664 | 2019-07-29 |
| 1962055160 | Amy Marie Watson | Case Manager/Care Coordinator | 1231 Gambell St Ste 300, Anchorage, AK 99501-4664 | 2019-07-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093304 | Ryan Garcia | Military Health Care Provider | 673d Med Group, Jber, AK 99501 | 2020-11-02 |
| 1033755798 | The Salvation Army, A California Corporation | Community/Behavioral Health | 1700 A Street, Anchorage, AK 99501 | 2019-11-18 |
| 1740841170 | Christina Lynne Arent Cook | Registered Nurse | 8000 West End Rd, Anchorage, AK 99501 | 2019-06-26 |
| 1033770672 | Kathy Eileen Mailelle | Behavior Technician | 8000 West End Road, Anchorage, AK 99501 | 2019-06-25 |
| 1306312574 | Patricia Estella Gould | Marriage & Family Therapist | 731 N St, Anchorage, AK 99501 | 2018-10-15 |
| 1497235642 | Beth Alta Fletcher | Specialist | 737 W 5th Ave Ste 202, Anchorage, AK 99501 | 2018-08-17 |
| 1699289645 | Jae Won Lee | Dentist | 726 E. 9th Avenue, Anchorage, AK 99501 | 2017-11-29 |
| 1649797796 | Seong Guy Hyung | Dentist | 726 E 9th Avenue, Anchorage, AK 99501 | 2017-08-29 |
| 1871952705 | Warren Anderson | Massage Therapist | 737 West 5th Avenue Suite 202, Anchorage, AK 99501 | 2016-02-20 |
| 1780072603 | Epoch - Alaska Limited Liability Company | General Practice | 3074 Mt. View Drive, Suite 193, Anchorage, AK 99501 | 2014-12-30 |
| Find all providers in zip 99501 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710597679 | Holly Reynoso | Case Manager/Care Coordinator | 14232 Snowdrift Way, Anchorage, AK 99515-4165 | 2020-08-05 |
| 1588272157 | Far North Care Coordination Agency | Case Manager/Care Coordinator | 2230 Sentry Dr Apt B308, Anchorage, AK 99507-4688 | 2020-07-20 |
| 1518581834 | Eric Edward Villasenor | Case Manager/Care Coordinator | 1515 E Tudor Rd Ste 9a, Anchorage, AK 99507-1036 | 2020-06-02 |
| 1982225934 | Rebecca Cho | Case Manager/Care Coordinator | 7556 Tarsus Dr, Anchorage, AK 99502-1888 | 2020-04-30 |
| 1396365086 | Kaleidoscope Care Coordination LLC | Case Manager/Care Coordinator | 6534 Mulberry Dr, Anchorage, AK 99502-2160 | 2020-04-22 |
| 1982232856 | Galina B Turnipseed | Case Manager/Care Coordinator | 1515 E Tudor Rd Ste 9, Anchorage, AK 99507-1036 | 2020-03-27 |
| 1407496862 | Anchorage Care Coordination, LLC | Case Manager/Care Coordinator | 11761 Spyglass Cir, Anchorage, AK 99515-2706 | 2020-01-13 |
| 1073157897 | Thelma Desjarlais | Case Manager/Care Coordinator | 9201 Shorecrest Drive, Anchorage, AK 99502 | 2019-11-05 |
| 1194366070 | Sean Alyston Sullivan | Case Manager/Care Coordinator | 1645 Mountainman Loop, Anchorage, AK 99507-1975 | 2019-10-02 |
| 1164072088 | Carolyn Palembas | Case Manager/Care Coordinator | 1905 E 4th Ave, Anchorage, AK 99501-2908 | 2019-09-12 |
| Find all providers in ANCHORAGE | ||||
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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.