MICHAEL J ROYLANCE (NPI# 1023254935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023254935 |
| Entity Type | Individual |
| Full Name | MICHAEL J ROYLANCE |
| Credential | PA-C |
| Practice Address |
1717 West Cowles Street Fairbanks AK 99701 |
| Practice Telephone | 9073781997 |
| Practice Fax Number | 9074583811 |
| Mailing Telephone | 9073781997 |
| Mailing Fax Number | 9074583811 |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2012-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 835 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PAD T 2002 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MEDICAL LICENSE | AK 835 | 01 |
| AK | MDA0289 | 05 |
| Street Address |
1717 WEST COWLES STREET |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366462889 | Michael Fitch | Family Medicine | 1717 West Cowles Street, Fairbanks, AK 99701 | 2006-07-20 |
| 1770847642 | Roseann Marie Dameron | Dentist | 1717 West Cowles Street, Fairbanks, AK 99701-4803 | 2012-06-26 |
| 1265718456 | Claire L Banks | Registered Nurse | 1717 West Cowles Street, Fairbanks, AK 99701 | 2011-11-01 |
| 1689954620 | Dale William Welsh | Physician Assistant | 1717 West Cowles Street, Fairbanks, AK 99701-5903 | 2011-08-22 |
| 1396915666 | Kimberley Ann Blood | Dietitian, Registered | 1717 West Cowles Street, Fairbanks, AK 99701 | 2008-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427539261 | Aimee Johnson | Physician Assistant | 1640 Cowles St Ste 1, Fairbanks, AK 99701-5908 | 2018-08-28 |
| 1558818864 | Adam Nelson | Physician Assistant | 386 Crestmont Dr, Fairbanks, AK 99709-2450 | 2016-09-02 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| 1417111865 | Lisa Kathleen Thoene | Physician Assistant | 3875 Geist Rd Ste E381, Fairbanks, AK 99709-3549 | 2008-07-15 |
| 1912160854 | Elizabeth Easley Decker | Physician Assistant | 1867 Airport Way Ste 120b, Fairbanks, AK 99701-4071 | 2008-07-09 |
| 1073636841 | Jan Denapoli | Physician Assistant | 3419 Airport Way, Suite D, Fairbanks, AK 99709-4761 | 2007-04-09 |
| 1487794566 | Craig Stuart Hampton | Physician Assistant | 2870 Waldheim Dr, Fairbanks, AK 99709-6060 | 2007-02-07 |
| 1316084809 | Ryan Clairmont | Physician Assistant | 201 1st Ave Ste 200, Fairbanks, AK 99701-4848 | 2007-01-31 |
| 1275592230 | Duane A. Frampton | Physician Assistant | 751 Old Richardson Hwy, Ste # 200, Fairbanks, AK 99701-7813 | 2006-03-20 |
| 1871568295 | Paul Wood Finch Jr. | Physician Assistant | 626 2nd St Ste 201b, Fairbanks, AK 99701-3466 | 2006-02-20 |
| Find all providers in FAIRBANKS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.