Christopher Jetter (NPI# 1457615064, PAC ID# 3779866181) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1457615064 |
| PAC ID by PECOS | 3779866181 |
| Professional Enrollment ID | I20170209000995 |
| Full Name | Christopher Jetter |
| Organization Legal Name | MATT A. HEILALA, DPM INC. |
| Address |
3190 E Meridian Park Loop Suite 205 Wasilla AK 99654-7422 |
| Phone Number | 9075693668 |
| Gender | M |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 3779496294 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 020001 | PROVIDENCE ALASKA MEDICAL CENTER |
| 020017 | ALASKA REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10325 Old Seward Hwy, Suite 201, Anchorage, AK 99515-2628 | 9075221088 | SELECT PHYSICAL THERAPY HOLDINGS INC |
| 3190 E Meridian Park Loop, Suite 205, Wasilla, AK 99654-7422 | 9075693668 | MATT A. HEILALA, DPM INC. |
| Organization Legal Name | MATT A. HEILALA, DPM INC. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer R Jansma | Podiatry | Matt A. Heilala, Dpm Inc. | 3190 E Meridian Park Loop, Suite 205, Wasilla, AK 99654-7422 |
| Jared R Kern | Podiatry | Matt A. Heilala, Dpm Inc. | 3190 E Meridian Park Loop, Suite 205, Wasilla, AK 99654-7422 |
| David Randall | Podiatry | Matt A. Heilala, Dpm Inc. | 3190 E Meridian Park Loop, Suite 205, Wasilla, AK 99654-7422 |
| Matt A Heilala | Podiatry | Matt A. Heilala, Dpm Inc. | 3190 E Meridian Park Loop, Suite 205, Wasilla, AK 99654-7422 |
| Mary Decourcey | Nurse Practitioner | Matt A. Heilala, Dpm Inc. | 4100 Lake Otis Pkwy, Suite 312, Anchorage, AK 99508-5231 |
| Street Address |
3190 E MERIDIAN PARK LOOP SUITE 205 |
| City | WASILLA |
| State | AK |
| Zip | 99654-7422 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer R Jansma | Podiatry | Matt A. Heilala, Dpm Inc. | 3190 E Meridian Park Loop, Suite 205, Wasilla, AK 99654-7422 |
| Greg M Wilkinson | Physician Assistant | Medical Group of Alaska | 3190 E Meridian Park Loop, Wasilla, AK 99654-7422 |
| Jessica M Johnson | Nurse Practitioner | Medical Group of Alaska | 3190 E Meridian Park Loop, Suite 206a, Wasilla, AK 99654-7422 |
| Jared R Kern | Podiatry | Matt A. Heilala, Dpm Inc. | 3190 E Meridian Park Loop, Suite 205, Wasilla, AK 99654-7422 |
| Jane M Sonnenburg | Physician Assistant | Medical Group of Alaska | 3190 E Meridian Park Loop, Wasilla, AK 99654-7422 |
| Jon A Hinman | Anesthesiology | Medical Group of Alaska | 3190 E Meridian Park Loop, Wasilla, AK 99654-7422 |
| Maria L Freeman | Family Medicine | Medical Group of Alaska | 3190 E Meridian Park Loop, Wasilla, AK 99654-7422 |
| David Randall | Podiatry | Matt A. Heilala, Dpm Inc. | 3190 E Meridian Park Loop, Suite 205, Wasilla, AK 99654-7422 |
| Matt A Heilala | Podiatry | Matt A. Heilala, Dpm Inc. | 3190 E Meridian Park Loop, Suite 205, Wasilla, AK 99654-7422 |
| Wesley Albert Mennear | Physical Therapy | Medical Group of Alaska | 3190 E Meridian Park Loop, Suite 206a, Wasilla, AK 99654-7422 |
| 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 | PODIATRY |
| City + Specialty | WASILLA + PODIATRY |
Please comment or provide details below to improve the information on Christopher Jetter.
| 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.