GLACIER FAMILY MEDICINE CLINIC LLC (NPI# 1942323779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942323779 |
| Entity Type | Organization |
| Organization Name | GLACIER FAMILY MEDICINE CLINIC LLC |
| Practice Address |
11724 Seward Hwy Ste D Seward AK 99664-9714 |
| Practice Telephone | 9072248733 |
| Practice Fax Number | 9072248734 |
| Mailing Telephone | 9072248733 |
| Mailing Fax Number | 9072248734 |
| Enumeration Date | 2007-04-08 |
| Last Update Date | 2011-04-13 |
| Authorized Official Name | MR. BRENT ALLEN URSEL (CEO PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 9072248733 |
| Authorized Official Credential | PAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 202 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD22813 | 05 |
| Street Address |
11724 SEWARD HWY STE D |
| City | SEWARD |
| State | AK |
| Zip Code | 99664-9714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679637011 | Brent Alan Ursel | Physician Assistant | 11724 Seward Hwy, Ste D, Seward, AK 99664-9714 | 2006-12-20 |
| 1942754742 | Collin Thomas Atkinson | Physical Therapist | 11724 Seward Hwy, Suite G, Seward, AK 99664-9708 | 2016-08-09 |
| 1134380041 | Seward Psychological Services LLC | Psychologist | 11724 Seward Hwy, Suite E, Seward, AK 99664-2732 | 2008-06-23 |
| 1124295589 | John Craig Williamson | Psychologist | 11724 Seward Hwy, Suite E, Seward, AK 99664-9708 | 2008-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859566 | Benjamin David Sayers I | Behavior Technician | 508 Madison St., Seward, AK 99664 | 2020-10-20 |
| 1497373997 | Hilary Ann Acovak | Behavior Technician | 226 Brownell St., Seward, AK 99664 | 2020-07-10 |
| 1477182368 | Rebecca Snow | Behavior Technician | Seaview Community Services, 302 Railway Avenue, Seward, AK 99664 | 2020-04-03 |
| 1134764996 | Seaview Community Services | Community/Behavioral Health | 1400 Chamberlain St, Seward, AK 99664 | 2019-11-15 |
| 1811544638 | Melissa Sanders | Behavior Technician | 302 Railway, Seward, AK 99664 | 2019-08-26 |
| 1013403708 | Andra Dawn Woodard | Social Worker | 10599 Fox Cir, Seward, AK 99664 | 2018-07-05 |
| 1275020661 | Sarah Brooke Hermann | Massage Therapist | 500 Adams St. Suite 202, Seward, AK 99664 | 2018-04-20 |
| 1902352206 | Lacuna Family Medicine, Inc. | Clinic/Center | 204 4th Ave, Seward, AK 99664 | 2016-08-28 |
| 1992115893 | Carissa Whatmore | Social Worker | 302 Railway Ave., Seward, AK 99664 | 2014-04-30 |
| 1205265345 | Cora Roberts | Dental Therapist | 201 3rd Avenue, Suite 115, Seward, AK 99664 | 2013-11-08 |
| Find all providers in zip 99664 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679637011 | Brent Alan Ursel | Physician Assistant | 11724 Seward Hwy, Ste D, Seward, AK 99664-9714 | 2006-12-20 |
| 1316013998 | Lori Landstrom | Physician Assistant | 201 3rd Avenue, Suite 201, Seward, AK 99664-2088 | 2006-11-27 |
| 1184790768 | Timothy W Johnson | Physician Assistant | 33280 Stoney Creek Ave, Seward, AK 99664-3633 | 2006-11-27 |
| 1841720513 | Miri Ann Pelc | Physician Assistant | 300 N Columbia Ave, Seward, NE 68434-2228 | 2017-06-15 |
| 1134558984 | Jeanette L Nienaber | Physician Assistant | 417 First Avenue, Seward, AK 99664 | 2013-11-02 |
| 1457510612 | Cynthia Langmade | Physician Assistant | 201 3rd Avenue, Suite 201, Seward, AK 99664-2088 | 2008-06-03 |
| 1720273295 | Rebecca Ivry Moore | Physician Assistant | 201 3rd Ave, Suite 201, Seward, AK 99664 | 2007-09-07 |
| 1699845016 | Memorial Health Care Systems | Physician Assistant | 300 N Columbia Ave, Seward, NE 68434-2299 | 2006-11-09 |
| 1265511810 | Lecia A. Vitosh | Physician Assistant | 250 N Columbia Ave, Seward, NE 68434-2248 | 2006-11-03 |
| 1841252277 | Melissa Dawn Soester | Physician Assistant | 250 N Columbia Ave, Seward, NE 68434-2248 | 2006-04-03 |
| Find all providers in SEWARD | ||||
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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.