ANCHORAGE ONCOLOGY CENTRE,LLC (NPI# 1043345259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043345259 |
| Entity Type | Organization |
| Organization Name | ANCHORAGE ONCOLOGY CENTRE,LLC |
| Practice Address |
4231 Lake Otis Pkwy Suite B2 Anchorage AK 99508-5214 |
| Practice Telephone | 9075692627 |
| Practice Fax Number | 9075692626 |
| Mailing Telephone | 9075692627 |
| Mailing Fax Number | 9075692626 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-01-03 |
| Authorized Official Name | LATHA SUBRAMANIAN (MEMBER) |
| Authorized Official Telephone | 9075692627 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
AA2285 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD2285 | 05 | |
| AK | STATE MEDICAL LICENSE | AA2285 | 01 |
| AK | DEA | AS1890715 | 01 |
| Street Address |
4231 LAKE OTIS PKWY SUITE B2 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801000534 | Ob Gyn Associates A Professional Corporation | Obstetrics & Gynecology | 4231 Lake Otis Pkwy, Anchorage, AK 99508-5214 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174576490 | Musaberk Goksel | Internal Medicine | 188 W Northern Lights Blvd Ste 800, Anchorage, AK 99503-3984 | 2006-05-18 |
| 1184605313 | Susan C. Delgalvis | Internal Medicine | 3851 Piper St, U340, Anchorage, AK 99508 | 2005-11-05 |
| 1104818913 | James Morgan Sprott Jr. | Internal Medicine | 6721 Samuel Ct, Anchorage, AK 99516-2412 | 2005-08-17 |
| 1386059061 | Natalie Hale Wallace | Internal Medicine | 2925 Debarr Rd Ste 300, Anchorage, AK 99508-2974 | 2014-06-21 |
| 1518221977 | Anusiyanthan Mariampillai | Internal Medicine | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2012-07-01 |
| 1942478854 | Anchorage Associates In Radiation Medicine, Ll | Internal Medicine | 3851 Piper Street, Tower U Suite Ll002, Anchorage, AK 99508 | 2008-02-13 |
| 1487713848 | Alaska Oncology and Hematology LLC | Internal Medicine | 2925 Debarr Road, Suite 300, Anchorage, AK 99508 | 2006-12-08 |
| 1245268002 | Mary L Stewart | Internal Medicine | 2925 Debarr Rd, Suite 300, Anchorage, AK 99508-2983 | 2006-06-29 |
| 1124054655 | Verneeda Spencer | Internal Medicine | 2925 Debarr Rd, Suite 300, Anchorage, AK 99508-2983 | 2006-06-25 |
| 1295770972 | Max J Rabinowitz | Internal Medicine | 2925 Debarr Rd, Suite 300, Anchorage, AK 99508-2983 | 2006-06-18 |
| Find all providers in ANCHORAGE | ||||
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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.