DR. DONIA INEZ BLAUVELT (NPI# 1871951905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871951905 |
| Entity Type | Individual |
| Full Name | DR. DONIA INEZ BLAUVELT |
| Credential | MD |
| Practice Address |
4076 Neely Road Fort Wainwright AK 99703-7400 |
| Mailing Address |
116 Chief Evan Dr Fairbanks AK 99709-4863 |
| Practice Telephone | 4097715563 |
| Mailing Telephone | 4097715563 |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 30303 | NE | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 30303 | NE | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3551 Roger Brooke Dr, Sammc, Pediatric Residency Program, Jbsa Ft Sam Houston, TX 782344504 | 2109169928 | 2109169332 |
| Street Address |
4076 NEELY ROAD |
| City | FORT WAINWRIGHT |
| State | AK |
| Zip Code | 99703-7400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184611519 | Susan J Tate | Emergency Medicine | 4076 Neely Road, Fort Wainwright, AK 99703 | 2005-09-30 |
| 1609379726 | Michael Bolan | Pharmacist | 4076 Neely Road, Fort Wainwright, AK 99709 | 2018-03-15 |
| 1588179535 | John David Boswell | Physician Assistant | 4076 Neely Road, Fort Wainwright, AK 99703 | 2017-12-12 |
| 1235677717 | Ashley Lynn Bain | Registered Nurse | 4076 Neely Road, Fort Wainwright, AK 99703 | 2017-02-06 |
| 1306380928 | John Merrill Manning | Psychologist | 4076 Neely Road, Attn: Dept of Behavioral Health, Fort Wainwright, AK 99703 | 2016-12-16 |
| 1891143129 | Brian Trinh | Pharmacist | 4076 Neely Road, Fort Wainwright, AK 99703 | 2016-05-26 |
| 1952790974 | Meagen Sassman | Dietitian, Registered | 4076 Neely Road, Fort Wainwright, AK 99703-7440 | 2015-01-14 |
| 1568870418 | Ryan Michael Laplace | General Practice | 4076 Neely Road, Fort Wainwright, AK 99703 | 2014-07-23 |
| 1912317728 | Debora Renee Wells-mcmanus | Social Worker | 4076 Neely Road, Fort Wainwright, AK 99703 | 2014-05-01 |
| 1770877417 | Christina Marie Hylden | Orthopaedic Surgery | 4076 Neely Road, Fort Wainwright, AK 99703-7440 | 2011-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144866435 | Rebecca P Conner | Registered Nurse | Bach, 1060 Gafney Rd, Ft Wainwright, AK 99703 | 2019-11-21 |
| 1881242030 | Stephanie Morse | Counselor | Bldg 3406 Alder Ave, Ft. Wainwright, AK 99703 | 2019-08-30 |
| 1801376702 | Matthew Gerard Somma | Physician Assistant | 1-25 Attack Reconnaissance Bn, Fort Wainwright, AK 99703 | 2018-08-20 |
| 1003268657 | Brandy Tristan | Dental Hygienist | Bldg 3406, Troop Dental Clinic, Ft. Wainwright, AK 99703 | 2016-07-07 |
| 1174998918 | Jeffrey Grace | Physician Assistant | Bassett Army Medical Center (kamish Clinic), 1060 Gaffney Rd, Ft Wainwright, AK 99703 | 2015-12-04 |
| 1073999215 | Melanie Anne Whalen | Dentist | 4055 Tamarak Dr, Ft Wainwright, AK 99703 | 2015-08-10 |
| 1790183176 | Sally Jane Rall | Counselor | 3406 Adler Ave, Fairbanks, AK 99703 | 2014-12-16 |
| 1083029193 | Francesann Hill | General Practice | 3214 East Santiago Avenue, Apo, AP 99703 | 2014-06-26 |
| 1669883146 | Amber Benton | Psychiatry & Neurology | 4005-4007 602nd St, Fort Wainwright, AK 99703 | 2014-05-18 |
| 1952720898 | Allison Hubert | Occupational Therapist | 3410 Rhineland Ave, Rm 108, Fort Wainwright, AK 99703 | 2014-04-08 |
| Find all providers in zip 99703 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891133823 | Devon Lee Stevens | Pediatrics | 1060 Gaffney Rd Stop 7400, Bassett Army Community Hospital, Fort Wainwright, AK 99703-5007 | 2013-06-12 |
| 1467890798 | Jennifer Myaeng | Pediatrics | 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 | 2013-06-09 |
| 1932204096 | Ross Martin Mathieu | Pediatrics | 1060 Gaffney Rd, Bassett Army Community Hospital, Fort Wainwright, AK 99703-5002 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629543046 | Pacific Pediatrics, LLC | Pediatrics | 63 Higgins Spur, Ketchikan, AK 99901-9442 | 2018-10-11 |
| 1780195727 | Amanda Kathleen Dunlap | Pediatrics | 3340 Providence Dr Ste A-452, Anchorage, AK 99508-4691 | 2017-10-17 |
| 1841663945 | Jennifer Elisabeth Austin | Pediatrics | 751 E 36th Ave Ste 100, Anchorage, AK 99503 | 2015-11-11 |
| 1295112159 | Jacob Eby | Pediatrics | 673 Mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-04-29 |
| 1821409137 | Denise Frohlich Jones | Pediatrics | Alaska Neonatology Assoc, 3340 Providence Dr. Suite 366, Anchorage, AK 99508 | 2014-05-08 |
| 1780003376 | Carolyn Roloff | Pediatrics | 3200 Providence Dr Fl 3, Anchorage, AK 99508 | 2014-04-10 |
| 1154755056 | Begich School Based Health Center | Pediatrics | 7440 Creekside Center Dr, Anchorage, AK 99504-5234 | 2013-08-27 |
| 1710262175 | Anchorage School Based Health Centers | Pediatrics | 150 Bragaw St, Anchorage, AK 99508-1307 | 2011-10-18 |
| 1164719423 | Scott Edward Stewart | Pediatrics | 673rd Mdg, 5955 Zeamer Ave, Jber, AK 99506 | 2011-07-06 |
| 1003142621 | Mat-su Community Pediatrics, P.C. | Pediatrics | 3750 E. Country Field Circle, Suite C, Wasilla, AK 99654 | 2009-11-02 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAINWRIGHT |
| Zip Code | 99703 |
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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.