DR. JEREMY J GITOMER (NPI# 1073509063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073509063 |
| Entity Type | Individual |
| Full Name | DR. JEREMY J GITOMER |
| Credential | M.D. |
| Practice Address |
4015 Lake Otis Pkwy Suite 101 Anchorage AK 99508-5211 |
| Mailing Address |
Po Box 196800 Anchorage AK 99519-6800 |
| Practice Telephone | 9073755200 |
| Practice Fax Number | 9073755201 |
| Mailing Telephone | 9073755200 |
| Mailing Fax Number | 9073755201 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2015-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
5028 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1017876 | 05 |
| Street Address |
4015 LAKE OTIS PKWY SUITE 101 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053304659 | Karen Sue Jones | Nurse Practitioner | 4015 Lake Otis Pkwy, Ste 101, Anchorage, AK 99508-5235 | 2005-08-30 |
| 1376935999 | Kristen Weieneth Musser | Occupational Therapy Assistant | 4015 Lake Otis Pkwy, Suite 200, Anchorage, AK 99508-5235 | 2015-02-19 |
| 1336553510 | Sarah Richelle Bilak-larson | Nurse Practitioner | 4015 Lake Otis Pkwy, Suite 101, Anchorage, AK 99508-5235 | 2014-06-16 |
| 1508286493 | Nskhc, LLC | Internal Medicine | 4015 Lake Otis Pkwy, Suite 101, Anchorage, AK 99508-5211 | 2014-04-18 |
| 1538432471 | Rachael Carlson | Nurse Practitioner | 4015 Lake Otis Pkwy, Suite 101, Anchorage, AK 99508-5211 | 2012-02-22 |
| 1912215377 | Bethany Ann Myers | Physician Assistant | 4015 Lake Otis Pkwy, Anchorage, AK 99508-5211 | 2010-09-20 |
| 1497994859 | Michael G Mcnamara Md LLC | Orthopaedic Surgery | 4015 Lake Otis Pkwy, Ste 201, Anchorage, AK 99508 | 2009-02-09 |
| 1427272970 | Chadwick E Barnes | Internal Medicine | 4015 Lake Otis Pkwy, Suite 101, Anchorage, AK 99508-5211 | 2007-04-13 |
| 1487609236 | David M Lefler Jr. | Internal Medicine | 4015 Lake Otis Pkwy, Suite101, Anchorage, AK 99508-5211 | 2006-05-23 |
| 1104805597 | Robert R Thomas | Physician Assistant | 4015 Lake Otis Pkwy, Suite 201, Anchorage, AK 99508-5211 | 2006-01-13 |
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558319434 | Stefano Emili | Internal Medicine | 3260 Providence Dr Ste 528, Anchorage, AK 99508-4608 | 2006-05-04 |
| 1407854052 | Peter B Hulman | Internal Medicine | 3260 Providence Dr, Suite 431, Anchorage, AK 99508-4661 | 2005-07-08 |
| 1831503440 | Andrzej Maciejewski Md, Inc | Internal Medicine | 3260 Providence Dr Ste 523, Anchorage, AK 99508-4608 | 2014-06-12 |
| 1508286493 | Nskhc, LLC | Internal Medicine | 4015 Lake Otis Pkwy, Suite 101, Anchorage, AK 99508-5211 | 2014-04-18 |
| 1093146623 | Nephrology & Hypertension Associates of Alaska, PC | Internal Medicine | 1120 Huffman Rd, Suite 24-691, Anchorage, AK 99515-3516 | 2013-12-08 |
| 1649601279 | Katmai Professional Services Group, LLC | Internal Medicine | 1120 Huffman Rd, Suite 24-691, Anchorage, AK 99515-3516 | 2013-12-08 |
| 1033542899 | Alaska Nephrologists LLC | Internal Medicine | 3300 Providence Dr, Suite 304, Anchorage, AK 99508-4690 | 2013-08-15 |
| 1215272620 | Glacier Management Services LLC | Internal Medicine | 3260 Providence Dr Ste 528, Anchorage, AK 99508-4608 | 2012-12-11 |
| 1992064836 | Amala Kanury | Internal Medicine | 4015 Lake Otis Pkwy Ste 101, Anchorage, AK 99508 | 2012-05-13 |
| 1811278161 | Kidney and Hypertension Clinic of Alaska LLC | Internal Medicine | 3300 Providence Dr, Building B, Suite 02, Anchorage, AK 99508-4671 | 2011-08-31 |
| 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.