Susan A Reed (NPI# 1447214648, PAC ID# 4385601061) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1447214648 |
| PAC ID by PECOS | 4385601061 |
| Professional Enrollment ID | I20170517002636 |
| Full Name | Susan A Reed |
| Organization Legal Name | KENAI SPINE LLC |
| Address |
1917 Abbott Rd Anchorage AK 99507-3449 |
| Phone Number | 9072605455 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2567617707 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 020024 | CENTRAL PENINSULA GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1917 Abbott Rd, Anchorage, AK 99507-3449 | 9072605455 | KENAI SPINE LLC |
| 240 Hospital Pl, Suite 103, Soldotna, AK 99669-7559 | 9072605455 | KENAI SPINE LLC |
| Organization Legal Name | KENAI SPINE LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven C Humphreys | Orthopedic Surgery | Kenai Spine LLC | 1917 Abbott Rd, Anchorage, AK 99507-3449 |
| Mark J Simonson | Physical Medicine and Rehabilitation | Kenai Spine LLC | 1917 Abbott Rd, Anchorage, AK 99507-3449 |
| John Andreshak | Orthopedic Surgery | Kenai Spine LLC | 240 Hospital Pl, Suite 103, Soldotna, AK 99669-7559 |
| Pamela Kove | Physician Assistant | Kenai Spine LLC | 1917 Abbott Rd, Anchorage, AK 99507-3449 |
| Street Address |
1917 ABBOTT RD |
| City | ANCHORAGE |
| State | AK |
| Zip | 99507-3449 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christy Nicole Medlin | Physical Therapy | Advanced Physical Therapy Inc | 1917 Abbott Rd, Suite 200, Anchorage, AK 99507-3449 |
| Cathal Patrick Lyons | Physical Therapy | Advanced Physical Therapy Inc | 1917 Abbott Rd, Suite 200, Anchorage, AK 99507-3449 |
| Joshua C Shaw | Physical Therapy | Advanced Physical Therapy Inc | 1917 Abbott Rd, Suite 200, Anchorage, AK 99507-3449 |
| Daniel A Witkowski | Physical Therapy | Advanced Physical Therapy Inc | 1917 Abbott Rd, Suite 200, Anchorage, AK 99507-3449 |
| Steven C Humphreys | Orthopedic Surgery | Kenai Spine LLC | 1917 Abbott Rd, Anchorage, AK 99507-3449 |
| Mark J Simonson | Physical Medicine and Rehabilitation | Kenai Spine LLC | 1917 Abbott Rd, Anchorage, AK 99507-3449 |
| Manuel Vicente Mauri Stecca | Physical Therapy | Advanced Physical Therapy Inc | 1917 Abbott Rd, Suite 200, Anchorage, AK 99507-3449 |
| Pamela S Mooty | Physical Therapy | Advanced Physical Therapy Inc | 1917 Abbott Rd, Suite 200, Anchorage, AK 99507-3449 |
| Shelbylee Harris | Physical Therapy | Advanced Physical Therapy Inc | 1917 Abbott Rd, Suite 200, Anchorage, AK 99507-3449 |
| Arianna Mattila | Physical Therapy | Advanced Physical Therapy Inc | 1917 Abbott Rd, Suite 200, Anchorage, AK 99507-3449 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Garrett P Haponski | Chiropractic | 2217 E Tudor Rd, Suite 16, Anchorage, AK 99507-1068 | |
| Joel M Everard | Physical Therapy | 2704 E Tudor Rd, Anchorage, AK 99507-1136 | |
| Robert Hilleman | Physician Assistant | Ideal Telemedicine Services LLC | 2421 E Tudor Rd, Suite 108, Anchorage, AK 99507-1166 |
| Michael E Merrick | Family Medicine | Ideal Telemedicine Services LLC | 2421 E Tudor Rd, Suite 108, Anchorage, AK 99507-1166 |
| Dolores I Van Bourgondien | Nurse Practitioner | Ideal Option, Pllc | 2421 E Tudor Rd, Suite 108, Anchorage, AK 99507-1166 |
| Jeffrey C Trotter | Physical Therapy | 2421 E Tudor Rd, 103 Frontier Therapy, Anchorage, AK 99507-1166 | |
| Tina Marie Demure | Nurse Practitioner | Ideal Option, Pllc | 2421 E Tudor Rd, Suite 108, Anchorage, AK 99507-1166 |
| Malissa Corbett | Physical Therapy | Jeffrey C Trotter | 2421 E Tudor Rd, Anchorage, AK 99507-1166 |
| Kelly L Ketz | Chiropractic | 5905 Lake Otis Pkwy, Suite B, Anchorage, AK 99507-1700 | |
| Lisa M Radley | Physical Therapy | Arctic Rehabilitation and Physical Therapy Anchorage LLC | 5701 Lake Otis Pkwy, Suite 100, Anchorage, AK 99507-1778 |
| Find all physicians in zip 99507 | |||
| City | ANCHORAGE |
| Zip Code | 99507 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ANCHORAGE + 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.