PETER MARSHALL, M.D. (NPI# 1972795714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972795714 |
| Entity Type | Organization |
| Organization Name | PETER MARSHALL, M.D. |
| Practice Address |
145 Santa Claus Lane North Pole AK 99705 |
| Mailing Address |
Po Box 55919 North Pole AK 99705-0919 |
| Practice Telephone | 9074884433 |
| Practice Fax Number | 9074889253 |
| Mailing Telephone | 9074884433 |
| Mailing Fax Number | 9074889253 |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-08-15 |
| Authorized Official Name | DR. PETER MARSHALL (OWNER) |
| Authorized Official Telephone | 9074884433 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
1466 | AK | Ambulatory Health Care Facilities |
| Street Address |
145 SANTA CLAUS LANE |
| City | NORTH POLE |
| State | AK |
| Zip Code | 99705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114091527 | Helyn M Lefgren | Family Medicine | 145 Santa Claus Lane, North Pole, AK 99705 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508815 | Madison Grove | Behavioral Analyst | 203 S. Santa Claus Lane, North Pole, AK 99705 | 2018-11-27 |
| 1104393123 | Jessica Marie Childress | Behavioral Analyst | 203 Santa Clause, North Pole, AK 99705 | 2018-10-29 |
| 1346722279 | Kimberly Shriner | Student in an Organized Health Care Education/Training Program | 1970 Hollowell Rd, North Pole, AK 99705 | 2018-09-06 |
| 1780108993 | Tracy Norris | Behavior Technician | 1000 Borda St., North Pole, AK 99705 | 2017-07-29 |
| 1912134420 | Donald Jermome Kosatka | Psychiatry & Neurology | Building 4066 602nd Street, Bassett Army Community Hospital, Fort Wainwright, AK 99705 | 2009-06-11 |
| 1174796247 | Monique Dase Smith | Psychiatry & Neurology | 1650 Cowles St., Fairbanks, AK 99705 | 2008-04-09 |
| 1376742494 | Vicki Elaine Readnour | Physical Therapist | 167-b Santa Claus Lane, North Pole, AK 99705 | 2007-07-18 |
| 1174695803 | Eric P Buetow | Dentist | 2933 Horseshoe Way, North Pole, AK 99705 | 2006-11-15 |
| 1770578296 | North Pole Prescription Laboratory Inc | Pharmacy | 167 Santa Claus Lane, North Pole, AK 99705 | 2005-09-12 |
| 1164747705 | Debra Berggren | Counselor | 1485 Sailor Court, North Pole, AK 99705-0771 | 2010-04-06 |
| Find all providers in zip 99705 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295361228 | Akins Mobile Health & Clinical Consultants, LLC | Clinic/Center | 2942 Gladys Marie Cir, Anchorage, AK 99516-1407 | 2020-03-22 |
| 1477029767 | Pacific Pediatrics, LLC | Clinic/Center | 3137 Tongass Ave # C, Ketchikan, AK 99901-5745 | 2018-10-15 |
| 1457865271 | Vera Whole Health Inc | Clinic/Center | 1450 Muldoon Rd, Anchorage, AK 99504-2820 | 2017-12-01 |
| 1902352206 | Lacuna Family Medicine, Inc. | Clinic/Center | 204 4th Ave, Seward, AK 99664 | 2016-08-28 |
| 1619333788 | Earthsong Integrative Medicine and Midwifery, LLC | Clinic/Center | 223 Gold St Uppr Unit, Juneau, AK 99801-1210 | 2016-01-05 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1780079749 | John D. Zipperer Jr Md, LLC | Clinic/Center | 2110 E. Northern Lights Blvd., Suite 102, Anchorage, AK 99508 | 2015-04-06 |
| 1467874933 | Now Health, LLC | Clinic/Center | 625 Cobb Street, Suite 201, Palmer, AK 99645 | 2014-01-17 |
| 1972894418 | Kim Thiele, Do, PC | Clinic/Center | 105 Trading Bay Dr, Suite 105, Kenai, AK 99611-7717 | 2011-05-02 |
| 1609173798 | M. Jane Moore, Md. LLC. | Clinic/Center | 3260 Providence Dr Ste 526, Anchorage, AK 99508-4608 | 2011-02-25 |
| Find all providers with the same taxonomy | ||||
| City | NORTH POLE |
| Zip Code | 99705 |
Please comment or provide details below to improve the information on PETER MARSHALL, M.D..
| 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.