DR. BRUCE GENTRY ENSIGN (NPI# 1073502944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073502944 |
| Entity Type | Individual |
| Full Name | DR. BRUCE GENTRY ENSIGN |
| Credential | MD |
| Practice Address |
4000 Ambassador Dr Anchorage AK 99508-5909 |
| Practice Telephone | 9077291234 |
| Practice Fax Number | 9077291226 |
| Mailing Telephone | 9077291234 |
| Mailing Fax Number | 9077291226 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2012-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
13012 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
4000 AMBASSADOR DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629543327 | Ashley Burhans | Nurse Anesthetist, Certified Registered | 4000 Ambassador Dr, Anchorage, AK 99508-5909 | 2018-10-09 |
| 1760992218 | Lindsay Henkelman | Social Worker | 4000 Ambassador Dr, Anchorage, AK 99508-5909 | 2017-10-10 |
| 1558728410 | Matthew Harringer | Nurse Anesthetist, Certified Registered | 4000 Ambassador Dr, Anchorage, AK 99508-5909 | 2016-01-24 |
| 1710390620 | Ellen K Kohler-krava | Nurse Practitioner | 4000 Ambassador Dr, Anchorage, AK 99508-5909 | 2014-06-09 |
| 1043642259 | Deanna Shandon Chaney | Social Worker | 4000 Ambassador Dr, Anchorage, AK 99508-5909 | 2013-07-30 |
| 1013278092 | Kyle Pohl | Internal Medicine | 4000 Ambassador Dr, Anchorage, AK 99508-5909 | 2012-06-06 |
| 1841567260 | Lucy Ann Bragg | Community Health Worker | 4000 Ambassador Dr, Anchorage, AK 99508-5909 | 2011-11-30 |
| 1174767289 | Jeffrey Michael Stubblefield | Physician Assistant | 4000 Ambassador Dr, Anchorage, AK 99508-5909 | 2009-04-21 |
| 1871758813 | Shiloh N Small | Obstetrics & Gynecology | 4000 Ambassador Dr, Anchorage, AK 99508-5909 | 2008-07-18 |
| 1750569901 | Jean L Rounds-riley | Physician Assistant | 4000 Ambassador Dr, Anchorage, AK 99508-5909 | 2008-02-08 |
| 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 | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588917421 | Ileana Radulescu Hawkins | Pathology | 2114 Wayne St, Anchorage, AK 99504 | 2012-10-16 |
| 1881629616 | Leon S Mensch | Pathology | 2801 Debarr Road, Pathology Associates, Anchorage, AK 99508 | 2006-07-11 |
| 1730299660 | Randy L Vanantwerp | Pathology | 2801 Debarr Rd, Department of Pathology, Anchorage, AK 99508-2932 | 2006-08-30 |
| 1093824997 | Steven A Jayich | Pathology | 2801 Debarr Rd, Department of Pathology, Anchorage, AK 99508-2932 | 2006-08-30 |
| 1982714861 | Anchorage Pathology Group | Pathology | 2801 Debarr Rd, Cliinical Lab, Anchorage, AK 99508-2932 | 2006-08-30 |
| 1497775662 | Thomas S Mego | Pathology | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2006-07-20 |
| 1366475105 | James Jay Tiesinga | Pathology | 4315 Diplomacy Dr, Attn: Sherry Reedy, Anchorage, AK 99508-5926 | 2006-07-07 |
| 1760421077 | Janet K Allen | Pathology | 4315 Diplomacy Dr, Attn: Tori Mccarty, Anchorage, AK 99508-5926 | 2006-06-05 |
| 1770520389 | Jeffery Hittson | Pathology | 4315 Diplomacy Dr, Alaska Native Medical Center, Anchorage, AK 99508-5926 | 2006-06-01 |
| 1144210303 | Lisbeth A Gallagher | Pathology | 3200 Providence Dr, Anchorage, AK 99508-4661 | 2005-10-27 |
| 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.