Dolores I Van Bourgondien (NPI# 1457788390, PAC ID# 9032332275) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1457788390 |
| PAC ID by PECOS | 9032332275 |
| Professional Enrollment ID | I20190610000219 |
| Full Name | Dolores I Van Bourgondien |
| Organization Legal Name | IDEAL OPTION, PLLC |
| Address |
2421 E Tudor Rd Suite 108 Anchorage AK 99507-1166 |
| Phone Number | 50922212753049 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6709013105 |
| Number of Group Practice Members | 118 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2421 E Tudor Rd, Suite 108, Anchorage, AK 99507-1166 | 50922212753049 | IDEAL OPTION, PLLC |
| 1221 Noble St, Suite 101, Fairbanks, AK 99701-4961 | 87752212753049 | IDEAL OPTION, PLLC |
| 1004 Fir St, Longview, WA 98632-2527 | 5092221275 | IDEAL OPTION, PLLC |
| 406 Se 131st Ave, Suite 104, Vancouver, WA 98683-4031 | 5092221275 | IDEAL OPTION, PLLC |
| Organization Legal Name | IDEAL OPTION, PLLC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dina Marie Shaughnessy | Nurse Practitioner | Ideal Option, Pllc | 8921 E Alki Ave, Suite 1, Spokane Valley, WA 99212-2705 |
| Kyle Joseph Ronnau | Nurse Practitioner | Ideal Option, Pllc | 3110 Cleveland Blvd, Caldwell, ID 83605-0718 |
| Michelle Connors | Physician Assistant | Ideal Option, Pllc | 2525 4th Ave N, Suite 1a, Billings, MT 59101-1312 |
| Brittany Marie Czerna | Nurse Practitioner | Ideal Option, Pllc | 1443 Idaho St, Lewiston, ID 83501-2558 |
| Kellie Lee Claire Duarte | Physician Assistant | Ideal Option, Pllc | 208 E Francis Ave, Spokane, WA 99208-1071 |
| Mary E Hedrick | Physician Assistant | Ideal Option, Pllc | 901 N Monroe St, Suite 322, Spokane, WA 99201-2148 |
| Victoria R Mills | Nurse Practitioner | Ideal Option, Pllc | 930 S 48th St, Omaha, NE 68106-1952 |
| Deanna C Timm | Nurse Practitioner | Ideal Option, Pllc | 1004 Fir St, Longview, WA 98632-2527 |
| Todd G Gottschalk | Internal Medicine | Ideal Option, Pllc | 8514 W Gage Blvd, Suite G, Kennewick, WA 99336-8108 |
| Shelli L Grapp | Nurse Practitioner | Ideal Option, Pllc | 508 S Clinton St, Iowa City, IA 52240-4212 |
| Street Address |
2421 E TUDOR RD SUITE 108 |
| City | ANCHORAGE |
| State | AK |
| Zip | 99507-1166 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| 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 |
| 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 | |
| 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 |
| Jordan Reidhead | Chiropractic | Arctic Rehabilitation and Physical Therapy Anchorage LLC | 5701 Lake Otis Pkwy, Suite 100, Anchorage, AK 99507-1778 |
| Adam Bellendier | Chiropractic | Arctic Rehabilitation and Physical Therapy Anchorage LLC | 5701 Lake Otis Pkwy, Suite 100, Anchorage, AK 99507-1778 |
| Jennah L Jones | Physical Therapy | Ascension Physical Therapy LLC | 6200 Lake Otis Pkwy, Suite 104, Anchorage, AK 99507-2098 |
| Meredith R Autrey | Physical Therapy | Ascension Physical Therapy LLC | 6200 Lake Otis Pkwy, Suite 104, Anchorage, AK 99507-2098 |
| Shannon K Black | Physical Therapy | Ascension Physical Therapy LLC | 6200 Lake Otis Pkwy, Suite 104, Anchorage, AK 99507-2098 |
| David Disselbrett | Physical Therapy | Ascension Physical Therapy LLC | 6200 Lake Otis Pkwy, Suite 104, Anchorage, AK 99507-2098 |
| Find all physicians in zip 99507 | |||
| City | ANCHORAGE |
| Zip Code | 99507 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ANCHORAGE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Dolores I Van Bourgondien.
| 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.