FAIRWEATHER LLC (NPI# 1972842433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972842433 |
| Entity Type | Organization |
| Organization Name | FAIRWEATHER LLC |
| Practice Address |
9525 King St Anchorage AK 99515-1817 |
| Mailing Address |
7999 Jewel Lake Rd Anchorage AK 99502-4251 |
| Practice Telephone | 9073463247 |
| Practice Fax Number | 9073491920 |
| Mailing Telephone | 9073313620 |
| Mailing Fax Number | 9076444477 |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-12-20 |
| Authorized Official Name | MS. AMY RENEE BOLAM (PRACTICE MANAGER) |
| Authorized Official Telephone | 9072488008 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 940479 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9525 KING ST |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99515-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194813733 | Paratransit Services | Non-emergency Medical Transport (VAN) | 9525 King St, Anchorage, AK 99515-1817 | 2006-10-10 |
| 1386054344 | Fairweather | Clinic/Center | 9525 King St, Anchorage, AK 99515-1817 | 2014-04-30 |
| 1760673826 | Municipality of Anchorage | Non-emergency Medical Transport (VAN) | 9525 King St, Anchorage, AK 99515-1817 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891293239 | Above The Horizon LLC | Custodial Care Facility | 3300 Amber Bay Loop, Anchorage, AK 99515 | 2018-01-31 |
| 1689103004 | Kristine Troesch | Massage Therapist | 1130 W Dimond Blvd Suite D, Anchorage, AK 99515 | 2017-06-08 |
| 1710433610 | Yichen Chung | Physical Therapist | 9500 Canton Loop, Anchorage, AK 99515 | 2016-08-30 |
| 1093185175 | Lemon Tree Family Medicine, LLC | Family Medicine | 621 W., Dimond Anchorage, AK 99515 | 2015-10-01 |
| 1861891285 | Shawna J Mcelroy | Physician Assistant | 1389 Huffman Road, #150, Anchorage, AK 99515 | 2014-08-21 |
| 1003224189 | Kelly Cutrer | Pharmacist | 12045 Brandon St, Anchorage, AK 99515 | 2014-08-01 |
| 1922419449 | Shady Cook | Case Manager/Care Coordinator | 14041 Sunview Dr., Anchorage, AK 99515 | 2014-05-19 |
| 1699119941 | Lezlee Henry-dupoux | Social Worker | 1221 Huffman Park Drive, Anchorage, AK 99515 | 2013-04-17 |
| 1790035087 | Carmelite Home | Residential Treatment Facility, Physical Disabilities | 9401 Aphrodite Dr., Anchorage, AK 99515 | 2012-09-13 |
| 1982996344 | Richard L Day, Dds, Apc | Dentist | 10998 Omalley Centre Dr., Suite A, Anchorage, AK 99515 | 2011-05-04 |
| Find all providers in zip 99515 | ||||
| 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 |
|---|---|---|---|---|
| 1912426040 | Ashley Boge | Physician Assistant | 2925 Debarr Rd Ste D350, Anchorage, AK 99508-2959 | 2017-09-09 |
| 1215455597 | Leigha Henry-waugh | Physician Assistant | 3724 Lincoln Ellsworth Ct Unit B, Anchorage, AK 99517-2354 | 2017-09-06 |
| 1003264052 | Kimberley Aikey | Physician Assistant | 1400 E 4th Ave, Anchorage, AK 99501-2857 | 2016-06-01 |
| 1457709008 | Betsy Louise Douds-paczan | Physician Assistant | 4701 Kenai Avenue, Anchorage, AK 99508 | 2016-05-24 |
| 1689021693 | Stephanie Marie Guzman | Physician Assistant | 4320 Diplomacy Dr Ste 2191, Anchorage, AK 99508-5925 | 2016-05-19 |
| 1972977866 | Alaska Medical Services Inc. | Physician Assistant | 2240 Paxson Dr Unit 1, Anchorage, AK 99504-3412 | 2015-11-16 |
| 1245610955 | Aaron M Thrasher | Physician Assistant | 4100 Lake Otis Parkway Suite 200, Anchorage, AK 99508 | 2015-06-08 |
| 1861891285 | Shawna J Mcelroy | Physician Assistant | 1389 Huffman Road, #150, Anchorage, AK 99515 | 2014-08-21 |
| 1891030789 | Katharine J Linduska | Physician Assistant | 4320 Diplomacy Dr Ste 2121, Anchorage, AK 99508-5925 | 2012-12-03 |
| 1659623031 | Alana Mandalapa | Physician Assistant | 1310 E Dimond Blvd Ste 1, Anchorage, AK 99515-2031 | 2012-10-09 |
| Find all providers in ANCHORAGE | ||||
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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.