Christopher James Sahlstrom (NPI# 1104858604, PAC ID# 4587733316) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1104858604 |
| PAC ID by PECOS | 4587733316 |
| Professional Enrollment ID | I20081022000685 |
| Full Name | Christopher James Sahlstrom |
| Organization Legal Name | HERITAGE FAMILY MEDICINE LLC |
| Address |
4931 E Mayflower Ln Suite 1 Wasilla AK 99665-7759 |
| Phone Number | 9073573496 |
| Gender | M |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5193869808 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 020006 | MAT-SU REGIONAL MEDICAL CENTER |
| 020001 | PROVIDENCE ALASKA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99665-7759 | 9073573496 | HERITAGE FAMILY MEDICINE LLC |
| Organization Legal Name | HERITAGE FAMILY MEDICINE LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig Michael Brumagin | Physician Assistant | Heritage Family Medicine LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99665-7759 |
| Street Address |
4931 E MAYFLOWER LN SUITE 1 |
| City | WASILLA |
| State | AK |
| Zip | 99665-7759 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie Ja Kimmery | Nurse Practitioner | Alaska Family Health Centers LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99654-7759 |
| Debra D Bushnell | Nurse Practitioner | Alaska Family Health Centers LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99654-7759 |
| Yvonne M Gambini | Nurse Practitioner | Alaska Family Health Centers LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99654-7759 |
| Roger A Hughes | Physician Assistant | Alaska Family Health Centers LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99654-7759 |
| Patricia G Johnson | Family Medicine | Alaska Family Health Centers LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99654-7759 |
| Neil A Nardini | Physician Assistant | Alaska Family Health Centers LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99654-7759 |
| Craig Michael Brumagin | Physician Assistant | Heritage Family Medicine LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99665-7759 |
| City | WASILLA |
| Zip Code | 99665 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WASILLA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Christopher James Sahlstrom.
| 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.