U.S. HEALTHWORKS MEDICAL GROUP OF ALASKA, LLC (NPI# 1063962769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063962769 |
| Entity Type | Organization |
| Organization Name | U.S. HEALTHWORKS MEDICAL GROUP OF ALASKA, LLC |
| Practice Address |
12350 Industry Way Suite 160 Anchorage AK 99515-4300 |
| Mailing Address |
25124 Springfield Ct Suite 200 Valencia CA 91355-1085 |
| Practice Telephone | 9073454343 |
| Practice Fax Number | 9073456232 |
| Mailing Telephone | 6616782600 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |
| Authorized Official Name | MR. JOSEPH T MALLAS (PRESIDENT) |
| Authorized Official Telephone | 6616782600 |
| Is Organization Subpart | Y |
| Parent Organization Name | U.S. HEALTHWORKS MEDICAL GROUP OF ALASKA, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053862607 | U.S. Healthworks Medical Group of Alaska, LLC | Family Medicine | 4100 Lake Otis Pkwy, Suite 322, Anchorage, AK 99508-5229 | 2016-10-19 |
| 1043761695 | U.S. Healthworks Medical Group of Alaska, LLC | Clinic/Center | 4100 Lake Otis Pkwy, Suite 100, Anchorage, AK 99508-5229 | 2016-10-19 |
| 1730639436 | U.S. Healthworks Medical Group of Alaska, LLC | Family Medicine | 17101 Snowmobile Ln, Suite 102, Eagle River, AK 99577-7043 | 2016-10-06 |
| 1922558527 | U.S. Healthworks Medical Group of Alaska, LLC | Clinic/Center | 1867 Airport Way, Suite 130b, Fairbanks, AK 99701-4054 | 2016-10-06 |
| 1841270337 | U.S. Healthworks Medical Group of Alaska, LLC | Clinic/Center | 25124 Springfield Ct, Suite 200, Valencia, CA 91355-1085 | 2006-01-19 |
| Street Address |
12350 INDUSTRY WAY SUITE 160 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99515-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669518957 | Christopher Thomas Patricoski | Family Medicine | 12350 Industry Way, Anchorage, AK 99515-4300 | 2007-01-30 |
| 1699208900 | Allison Emmert | Speech-Language Pathologist | 12350 Industry Way, Suite 202, Anchorage, AK 99515-4300 | 2017-04-05 |
| 1528430949 | Grant Tatge | Speech-Language Pathologist | 12350 Industry Way, Suite 202, Anchorage, AK 99515-4300 | 2015-10-25 |
| 1003293044 | Kathryn Cross | Speech-Language Pathologist | 12350 Industry Way, 202, Anchorage, AK 99515-4300 | 2015-04-29 |
| 1407279078 | Margretta Voinot-baron | Speech-Language Pathologist | 12350 Industry Way, Suite 202, Anchorage, AK 99515-4300 | 2014-01-31 |
| 1356609192 | John Joseph Murray Jr. | Dentist | 12350 Industry Way, Suite 205, Anchorage, AK 99515 | 2012-04-30 |
| 1487874913 | Christi Froiland | Physician Assistant | 12350 Industry Way, Suite 160, Anchorage, AK 99515-4300 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891293239 | Above The Horizon LLC | Custodial Care Facility | 3300 Amber Bay Loop, Anchorage, AK 99515 | 2018-01-31 |
| 1689103004 | Kristine Troesch | Massage Therapist | 1130 W Dimond Blvd Suite D, Anchorage, AK 99515 | 2017-06-08 |
| 1710433610 | Yichen Chung | Physical Therapist | 9500 Canton Loop, Anchorage, AK 99515 | 2016-08-30 |
| 1093185175 | Lemon Tree Family Medicine, LLC | Family Medicine | 621 W., Dimond Anchorage, AK 99515 | 2015-10-01 |
| 1861891285 | Shawna J Mcelroy | Physician Assistant | 1389 Huffman Road, #150, Anchorage, AK 99515 | 2014-08-21 |
| 1003224189 | Kelly Cutrer | Pharmacist | 12045 Brandon St, Anchorage, AK 99515 | 2014-08-01 |
| 1922419449 | Shady Cook | Case Manager/Care Coordinator | 14041 Sunview Dr., Anchorage, AK 99515 | 2014-05-19 |
| 1699119941 | Lezlee Henry-dupoux | Social Worker | 1221 Huffman Park Drive, Anchorage, AK 99515 | 2013-04-17 |
| 1790035087 | Carmelite Home | Residential Treatment Facility, Physical Disabilities | 9401 Aphrodite Dr., Anchorage, AK 99515 | 2012-09-13 |
| 1982996344 | Richard L Day, Dds, Apc | Dentist | 10998 Omalley Centre Dr., Suite A, Anchorage, AK 99515 | 2011-05-04 |
| Find all providers in zip 99515 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194711457 | Karen Lee Morrissette | Preventive Medicine | 508 Chase Ave, Cordova, AK 99574 | 2005-09-22 |
Please comment or provide details below to improve the information on U.S. HEALTHWORKS MEDICAL GROUP OF ALASKA, LLC.
| 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.