DR. CARSON S WEBB (NPI# 1053491019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053491019 |
| Entity Type | Individual |
| Full Name | DR. CARSON S WEBB |
| Credential | MD |
| Practice Address |
3841 Piper St Ste T100 Anchorage AK 99508-4674 |
| Mailing Address |
Po Box 200149 Anchorage AK 99520-0149 |
| Practice Telephone | 9075613211 |
| Mailing Telephone | 9075613211 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2019-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
6380 | AK | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
6380 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1011411 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2111 Cowles St, Fairbanks, AK 997015918 | 9074586450 | 9074571854 |
| Street Address |
3841 PIPER ST STE T100 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-4674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053418632 | Elizabeth A. Garrity | Nurse Practitioner | 3841 Piper St Ste T100, Anchorage, AK 99508 | 2006-09-17 |
| 1568070654 | Amanda D Ellis | Nurse Practitioner | 3841 Piper St Ste T100, Anchorage, AK 99508-4674 | 2020-07-15 |
| 1710514757 | Gabriel R Holland | Physician Assistant | 3841 Piper St Ste T100, Anchorage, AK 99508-4674 | 2020-03-26 |
| 1427691864 | Claudia Proelss Smith | Nurse Practitioner | 3841 Piper St Ste T100, Anchorage, AK 99508-4674 | 2019-10-17 |
| 1902376437 | Nathan Friederichs | Physician Assistant | 3841 Piper St Ste T100, Anchorage, AK 99508-4674 | 2018-11-27 |
| 1912499211 | Amy Jeanette Hart | Nurse Practitioner | 3841 Piper St Ste T100, Anchorage, AK 99508-4674 | 2018-06-01 |
| 1487169686 | Jonathan James Tower | Physician Assistant | 3841 Piper St Ste T100, Anchorage, AK 99508-4674 | 2017-12-10 |
| 1831613694 | Kristine Dianne Lubaton Polintan | Nurse Practitioner | 3841 Piper St Ste T100, Anchorage, AK 99508-4674 | 2017-08-02 |
| 1265984181 | Theresa Gale Hall | Nurse Practitioner | 3841 Piper St Ste T100, Anchorage, AK 99508-4674 | 2016-10-26 |
| 1801274493 | Yuriy Tretyak | Physician Assistant | 3841 Piper St Ste T100, Anchorage, AK 99508 | 2015-05-14 |
| Find all providers in the same location | ||||
| 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 | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982946315 | Blake Randolph Charlton | Internal Medicine | 3841 Piper St Ste T100, Anchorage, AK 99508-4674 | 2013-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255302717 | Romel C Wrenn | Internal Medicine | 1650 Cowles St, Fairbanks, AK 99701 | 2006-01-31 |
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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.