Leonardo M Rios-andersen (NPI# 1699735050, PAC ID# 3577746247) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1699735050 |
| PAC ID by PECOS | 3577746247 |
| Professional Enrollment ID | I20110318000229 |
| Full Name | Leonardo M Rios-andersen |
| Organization Legal Name | SUMMIT ORAL SURGERY LLC |
| Address |
1700 E Bogard Rd Bldg B Suite 202 Wasilla AK 99654-6570 |
| Phone Number | 9073573414 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 1052490828 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1700 E Bogard Rd Bldg B, Suite 202, Wasilla, AK 99654-6570 | 9073573414 | SUMMIT ORAL SURGERY LLC |
| 1700 E Bogard Rd Bldg B, Wasilla, AK 99654-6570 | 9073573414 | SUMMIT ORAL SURGERY LLC |
| Organization Legal Name | SUMMIT ORAL SURGERY LLC |
| Physicians | 1 |
| Street Address |
1700 E BOGARD RD BLDG B SUITE 202 |
| City | WASILLA |
| State | AK |
| Zip | 99654-6570 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Wimsatt Iii | Maxillofacial Surgery | 1700 E Bogard Rd Bldg B, Suite 202, Wasilla, AK 99654-6570 | |
| Shelby N Blum | Physical Therapy | Excel Physical Therapy Limited Partnership | 1700 E Bogard Rd Bldg B, Wasilla, AK 99654-6563 |
| Amy Sauck | Physical Therapy | Excel Physical Therapy Limited Partnership | 1700 E Bogard Rd Bldg B, Wasilla, AK 99654-6563 |
| 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 | MAXILLOFACIAL SURGERY |
| City + Specialty | WASILLA + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Leonardo M Rios-andersen.
| 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.