MR. GREGOR FREYSTAETTER (NPI# 1871825422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871825422 |
| Entity Type | Individual |
| Full Name | MR. GREGOR FREYSTAETTER |
| Credential | M.D. |
| Practice Address |
3300 Providence Dr Suite B314 Anchorage AK 99508-4690 |
| Mailing Address |
3760 Piper St Suite 1060 Anchorage AK 99508-4665 |
| Practice Telephone | 9072123420 |
| Mailing Telephone | 9072126522 |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2013-02-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
7231 | AK | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
ME108651 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | RAILROAD MEDICARE PIN | P01051166 | 01 |
| AK | MD9626 | 05 | |
| AK | MEDICARE GROUP # | 162616 | 01 |
| AK | RAILROAD MEDICARE GROUP # | DS6541 | 01 |
| AK | MEDICAID MD GROUP # | MDG046 | 01 |
| Street Address |
3300 PROVIDENCE DR SUITE B314 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-4690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760483556 | Credena Health LLC | Durable Medical Equipment & Medical Supplies | 3300 Providence Dr, Ste 101, Anchorage, AK 99508-4671 | 2005-08-03 |
| 1487192464 | Becky Pletzer | Social Worker | 3300 Providence Dr, Suite B314, Anchorage, AK 99508-4690 | 2017-02-09 |
| 1033564901 | Megan Hultquist | Social Worker | 3300 Providence Dr, Suite B314, Anchorage, AK 99508-4690 | 2016-04-28 |
| 1669842241 | Amy Paul | Pharmacist | 3300 Providence Dr, Ste B314, Anchorage, AK 99508-4690 | 2015-09-25 |
| 1245608975 | Wenceslous Fru | Physician Assistant | 3300 Providence Dr, Suite B314, Anchorage, AK 99508-4690 | 2015-09-11 |
| 1306263504 | Karen Marie Scholz | Social Worker | 3300 Providence Dr, Suite B314, Anchorage, AK 99508-4690 | 2014-03-25 |
| 1033542899 | Alaska Nephrologists LLC | Internal Medicine | 3300 Providence Dr, Suite 304, Anchorage, AK 99508-4690 | 2013-08-15 |
| 1639419161 | Kelley Leanne Smart | Social Worker | 3300 Providence Dr, Suite B314, Anchorage, AK 99508-4690 | 2013-02-20 |
| 1811278161 | Kidney and Hypertension Clinic of Alaska LLC | Internal Medicine | 3300 Providence Dr, Building B, Suite 02, Anchorage, AK 99508-4671 | 2011-08-31 |
| 1174821383 | Cynthia Mcginty | Nurse Practitioner | 3300 Providence Dr, Suite B314, Anchorage, AK 99508-4690 | 2011-03-11 |
| Find all providers in the same location | ||||
| 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 | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992898704 | Mark E. Agnew | Internal Medicine | 3300 Providence Dr, B314, Anchorage, AK 99508-4690 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114313434 | Daniel Joel Mcculley | Internal Medicine | 1001 Noble St Ste 1, Fairbanks, AK 99701-4991 | 2015-04-14 |
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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.