EAR, NOSE AND THROAT SPECIALISTS ALASKA, INC. (NPI# 1972552891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972552891 |
Entity Type | Organization |
Organization Name | EAR, NOSE AND THROAT SPECIALISTS ALASKA, INC. |
Other Organization Name | ALYESKA CENTER FOR FACIAL PLASTIC SURGERY |
Practice Address |
3831 Piper Street Suite#s433 Anchorage AK 99508 |
Practice Telephone | 9075633515 |
Practice Fax Number | 9075633541 |
Mailing Telephone | 9075633515 |
Mailing Fax Number | 9075633541 |
Enumeration Date | 2006-05-08 |
Last Update Date | 2019-06-11 |
Authorized Official Name | TODD PARRISH (SECRETARY / TREASURER) |
Authorized Official Telephone | 9075633515 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Alyeska Center for Facial Plastic Surgery | Former Legal Business Name - Organization |
Street Address |
3831 PIPER STREET SUITE#S433 |
City | ANCHORAGE |
State | AK |
Zip Code | 99508 |
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 | 207YX0905X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngology/Facial Plastic Surgery |
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386739837 | Kevin Neal Jensen | Otolaryngology | 3750 E Country Field Cir Ste B, Wasilla, AK 99654-6659 | 2006-10-03 |
1891894606 | James Victor Zirul | Otolaryngology | 220 Spur View Drive, Kenai, AK 99611-6880 | 2006-09-21 |
1114548351 | Alaska Facial Plastic Surgery & Ent | Otolaryngology | 3719 E Meridian Loop Ste E, Wasilla, AK 99654-7273 | 2020-04-28 |
1134160120 | Andrew Richard Pulliam | Otolaryngology | 2490 S Woodworth Loop, Suite 201, Palmer, AK 99645-7405 | 2006-06-09 |
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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.