Michael Michaud (NPI# 1710295209, PAC ID# 3870773799) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1710295209 |
| PAC ID by PECOS | 3870773799 |
| Professional Enrollment ID | I20170503002366 |
| Full Name | Michael Michaud |
| Organization Legal Name | MAT-SU VALLEY III LLC |
| Address |
950 E Bogard Rd Wasilla AK 99654-7172 |
| Phone Number | 9078640260 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5496941502 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 020006 | MAT-SU REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 950 E Bogard Rd, Wasilla, AK 99654-7172 | 9078640260 | MAT-SU VALLEY III LLC |
| 950 E Bogard Rd, Mat Su Reg Urgent Cr, Wasilla, AK 99654-7105 | 9073522880 | MAT-SU VALLEY MEDICAL CENTER LLC |
| Organization Legal Name | MAT-SU VALLEY III LLC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Eachon | Physician Assistant | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
| Virginia C Cooper | Physician Assistant | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
| Shawn A Roberts | Nurse Practitioner | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
| Paul H Gibson | Physician Assistant | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
| Michael A Dibartolo | Family Medicine | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
| Barbara J Doty | Family Medicine | Mat-su Valley IIi LLC | 1700 E Bogard Rd, Suite 100, Wasilla, AK 99654-6563 |
| Matthew John Mau | Physician Assistant | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
| Jessica D Rowley | Physician Assistant | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
| Megan Ferguson | Certified Nurse Midwife (cnm) | Mat-su Valley IIi LLC | 2490 S Woodworth Loop, Suite 301, Palmer, AK 99645-7407 |
| Violeta D Yeager | Nurse Practitioner | Mat-su Valley IIi LLC | 209 W Evergreen Ave, Palmer, AK 99645-6952 |
| Street Address |
950 E BOGARD RD |
| City | WASILLA |
| State | AK |
| Zip | 99654-7172 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan Neves George | Nurse Practitioner | John C Boston Do PC | 950 E Bogard Rd, Suite 228, Wasilla, AK 99654-7185 |
| Duane I Odland | Family Medicine | 950 E Bogard Rd, Suite 234, Wasilla, AK 99654-7185 | |
| Patricia Beth Payne | Nurse Practitioner | John C Boston Do PC | 950 E Bogard Rd, Suite 228, Wasilla, AK 99654-7185 |
| Elliott Bruce Gagnon | Plastic and Reconstructive Surgery | 950 E Bogard Rd, Suite 209, Wasilla, AK 99654-7172 | |
| Rachel Adams | Nurse Practitioner | Mat-su Valley Medical Center LLC | 950 E Bogard Rd, Wasilla, AK 99654-7184 |
| John C Boston | Internal Medicine | John C Boston Do PC | 950 E Bogard Rd, Suite 228, Wasilla, AK 99654-7185 |
| Valerie Clark | Nurse Practitioner | Mat-su Valley IIi LLC | 950 E Bogard Rd, Wasilla, AK 99654-7172 |
| Megan D Nystrom | Family Practice | Odland Family Practice Clinic, LLC | 950 E Bogard Rd, Suite 234, Wasilla, AK 99654-7185 |
| 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 |
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| 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.