Jordan Aimee Elizabeth Manelick (NPI# 1871903955, PAC ID# 1658675731) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1871903955 |
| PAC ID by PECOS | 1658675731 |
| Professional Enrollment ID | I20160210001371 |
| Full Name | Jordan Aimee Elizabeth Manelick |
| Organization Legal Name | SOUTHCENTRAL FOUNDATION |
| Address |
1001 S Knik Goose Bay Rd Wasilla AK 99654-8083 |
| Phone Number | 9077296342 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5496663627 |
| Number of Group Practice Members | 111 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 020026 | ALASKA NATIVE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 9077296342 | SOUTHCENTRAL FOUNDATION |
| Organization Legal Name | SOUTHCENTRAL FOUNDATION |
| Physicians | 138 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Dale Frishman | Psychiatry | Southcentral Foundation | 26341 Eklutna Village Rd, Chugiak, AK 99567-5148 |
| Calvin W Gabel | Chiropractic | Southcentral Foundation | 101 Airport Rd, Iliamna, AK 99606 |
| Megan K Hallock | Physician Assistant | Southcentral Foundation | 4330 Elmore Rd, Ernie Turner, Anchorage, AK 99508-5907 |
| Alesya Oleynik | Registered Dietitian Or Nutrition Professional | Southcentral Foundation | 16166w Glenn Hwy, Sutton, AK 99674-8116 |
| Christopher J Haupt-chronister | Nurse Practitioner | Southcentral Foundation | 225 Eagle St, Anchorage, AK 99501-2626 |
| Lisa M Alexia | Physician Assistant | Southcentral Foundation | 1 Flight Line Rd, Port Alsworth, AK 99653-9801 |
| Laurie E Zimmer | Family Medicine | Southcentral Foundation | 1000 Polovina Tpke, St Paul, AK 99660 |
| Kent Steele | Physician Assistant | Southcentral Foundation | 4160 Tudor Centre Dr, Anchorage, AK 99508-5901 |
| Landis T Tew | Chiropractic | Southcentral Foundation | 101 Indian Creek Rd, Indian Creek Health, Tyonek, AK 99682-9999 |
| Barbara A Baum | Clinical Social Worker | Southcentral Foundation | 4341 Tudor Centre Dr, Suite 3, Anchorage, AK 99508-5904 |
| Street Address |
1001 S KNIK GOOSE BAY RD |
| City | WASILLA |
| State | AK |
| Zip | 99654-8083 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jasen R Thompson | Physician Assistant | Southcentral Foundation | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 |
| Jon Todd Baughman | Physician Assistant | Southcentral Foundation | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 |
| Richard B Eaton | Physician Assistant | Southcentral Foundation | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 |
| David M James | Family Medicine | Southcentral Foundation | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 |
| Ingrid M Carlson | Physician Assistant | Southcentral Foundation | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 |
| Nazly Mofidi | Optometry | Southcentral Foundation | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 |
| Karl Alu Tieva | Family Medicine | Southcentral Foundation | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 |
| Davis M Staley | Optometry | Southcentral Foundation | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 |
| Rosemary J Graffius | Nurse Practitioner | Southcentral Foundation | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 |
| Angel M. Husher | Optometry | Southcentral Foundation | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blaine G Upham | Chiropractic | 5461 E Mayflower Lane, Suite 6, Wasilla, AK 99654 | |
| Jeffrey A Lepage | Physical Therapy | First Choice Physical Therapy Inc | 6701 W Blondell St, Wasilla, AK 99654 |
| Trisha M Magee | Physical Therapy | Health Quest Therapy Inc | Mile 4, Wasilla, AK 99654 |
| Marlys F Bryan | Physical Therapy | Health Quest Therapy Inc | Mile 4, Wasilla, AK 99654 |
| Josh T Williams | Physical Therapy | First Choice Physical Therapy Inc | 6701 W Blondell St, Wasilla, AK 99654 |
| Amy L Stielstra | Physical Therapy | First Choice Physical Therapy Inc | 6701 W Blondell St, Wasilla, AK 99654 |
| Corissa J Abel | Physical Therapy | First Choice Physical Therapy Inc | 6701 W Blondell St, Wasilla, AK 99654 |
| Lisa M Bouyea-francies | Nurse Practitioner | Mat-su Health Services Inc. | 1363 W Spruce Ave, Wasilla, AK 99654-5327 |
| Robin Hughes | Clinical Social Worker | Mat-su Health Services Inc. | 1363 W Spruce Ave, Wasilla, AK 99654-5327 |
| Mary A Eckart | Physician Assistant | Mat-su Health Services Inc. | 1363 W Spruce Ave, Wasilla, AK 99654-5327 |
| Find all physicians in zip 99654 | |||
| City | WASILLA |
| Zip Code | 99654 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WASILLA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jordan Aimee Elizabeth Manelick.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.