Mark D Roman (NPI# 1588692602, PAC ID# 6305866054) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1588692602 |
| PAC ID by PECOS | 6305866054 |
| Professional Enrollment ID | I20160201001263 |
| Full Name | Mark D Roman |
| Organization Legal Name | TANANA CHIEFS CONFERENCE |
| Address |
1717 W Cowles St Fairbanks AK 99701-5926 |
| Phone Number | 9074516682 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1998 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9537050109 |
| Number of Group Practice Members | 120 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 271314 | DEER LODGE MEDICAL CENTER |
| 271324 | PONDERA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1717 W Cowles St, Fairbanks, AK 99701-5926 | 9074516682 | TANANA CHIEFS CONFERENCE |
| Organization Legal Name | TANANA CHIEFS CONFERENCE |
| Physicians | 100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Garrick A Olsen | Physician Assistant | Tanana Chiefs Conference | 1408 19th Ave, Fairbanks, AK 99701-5903 |
| Katrin Tsigonis | Family Medicine | Tanana Chiefs Conference | 1717 W Cowles St, Fairbanks, AK 99701-5926 |
| Tamara A Huntington | Family Medicine | Tanana Chiefs Conference | 77 Antoski Ave, Galena, AK 99741 |
| Mark A Clifford | Psychiatry | Tanana Chiefs Conference | 1408 19th Ave, Fairbanks, AK 99701-5903 |
| Joseph Kennedy | Physical Therapy | Tanana Chiefs Conference | 1408 19th Ave, Fairbanks, AK 99701-5903 |
| Billy W Carpenter | Osteopathic Manipulative Medicine | Tanana Chiefs Conference | 1408 19th Ave, Fairbanks, AK 99701-5903 |
| Caryn L Scott | Physician Assistant | Tanana Chiefs Conference | 1408 19th Ave, Fairbanks, AK 99701-5903 |
| Michael John Roylance | Physician Assistant | Tanana Chiefs Conference | 1408 19th Ave, Fairbanks, AK 99701-5903 |
| Anne M Lilley | Nurse Practitioner | Tanana Chiefs Conference | 1408 19th Ave, Fairbanks, AK 99701-5903 |
| Angela S Lucien | Physician Assistant | Tanana Chiefs Conference | 1408 19th Ave, Fairbanks, AK 99701-5903 |
| Street Address |
1717 W COWLES ST |
| City | FAIRBANKS |
| State | AK |
| Zip | 99701-5926 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katrin Tsigonis | Family Medicine | Tanana Chiefs Conference | 1717 W Cowles St, Fairbanks, AK 99701-5926 |
| Suzanne Marie Jones | Nurse Practitioner | Tanana Chiefs Conference | 1717 W Cowles St, Fairbanks, AK 99701-5926 |
| Sadie M Marden | Obstetrics/gynecology | Tanana Chiefs Conference | 1717 W Cowles St, Fairbanks, AK 99701-5926 |
| Stephen S Gerrish | Family Medicine | Tanana Chiefs Conference | 1717 W Cowles St, Fairbanks, AK 99701-5926 |
| Audrey Frone | Nurse Practitioner | Tanana Chiefs Conference | 1717 W Cowles St, Fairbanks, AK 99701-5926 |
| Joanne M Wallis | Nurse Practitioner | Tanana Chiefs Conference | 1717 W Cowles St, Fairbanks, AK 99701-5926 |
| Gabe V Schuldt | Family Medicine | Tanana Chiefs Conference | 1717 W Cowles St, Fairbanks, AK 99701-5926 |
| Kimberly Sonderland | Nurse Practitioner | Tanana Chiefs Conference | 1717 W Cowles St, Fairbanks, AK 99701-5926 |
| Angela Copeland | Physical Therapy | Tanana Chiefs Conference | 1717 W Cowles St, Fairbanks, AK 99701-5926 |
| Kurt Hediger | Chiropractic | Tanana Chiefs Conference | 1717 W Cowles St, Fairbanks, AK 99701-5926 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol J Davis | Chiropractic | 1018 College Rd, Fairbanks, AK 99701-1557 | |
| William A Tewson | Chiropractic | 29 College Rd, 8b1, Fairbanks, AK 99701-1739 | |
| Virginia R Lind | Optometry | 59 College Rd, Suite 209, Fairbanks, AK 99701-1757 | |
| Aimee Desiree Burgess | Chiropractic | Life Sprout Chiropractic LLC | 505 Illinois St, Suite 4, Fairbanks, AK 99701-2946 |
| Jeremy Cole Fulk | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| David J Peterson | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Damien R Delzer | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Stanley R Fuller | Ophthalmology | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Natalie E Macke | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Rebecca S Wilbur | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Find all physicians in zip 99701 | |||
| City | FAIRBANKS |
| Zip Code | 99701 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FAIRBANKS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Mark D Roman.
| 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.