MICHAEL THOMAS VON AH (NPI# 1083640387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083640387 |
| Entity Type | Individual |
| Full Name | MICHAEL THOMAS VON AH |
| Credential | WHNP |
| Practice Address |
9761 W Margin Way Wasilla AK 99623 |
| Mailing Address |
1125 N Colonial Dr Wasilla AK 99654-6760 |
| Practice Telephone | 9073735400 |
| Practice Fax Number | 9073735740 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2018-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
879 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | NP0879 | 05 |
| Street Address |
9761 W MARGIN WAY |
| City | WASILLA |
| State | AK |
| Zip Code | 99623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104723 | Lisa Newell | Home Health Aide | 7945 S. Settlers Bay Dr, Wasilla, AK 99623 | 2020-01-28 |
| 1780238014 | Bradley Duke Ischinger | Physical Therapy Assistant | 6701 Blondell Drive, Wasilla, AK 99623 | 2019-07-25 |
| 1508423625 | Ramon Ortiz | Counselor | 3940 N. El Taino Circle, Wasilla, AK 99623 | 2019-05-23 |
| 1689239782 | Kristine Ione Bayne | Counselor | 2651 N. Thordore Dr, Wasilla, AK 99623 | 2019-05-03 |
| 1801450382 | Desiree Feringa | Case Manager/Care Coordinator | 6640 S Calista Drive, Wasilla, AK 99623 | 2019-04-30 |
| 1861966269 | Tina Renee Hopkins | Assisted Living Facility | 3471 W Wren St, Wasilla, AK 99623 | 2019-01-18 |
| 1801382981 | Jaimie M Church | Social Worker | 6100 W Robin Hood Lane, Wasilla, AK 99623 | 2018-07-02 |
| 1861935975 | Mat-su Valley IIi LLC | Clinic/Center | 5851 South Knik-goose Bay Road, Wasilla, AK 99623 | 2016-11-21 |
| 1972980639 | Jesika Harrell | Physician Assistant | 500 East Benson Blvd, Suite 103, Anchorage, AK 99623 | 2015-05-01 |
| 1497175418 | Mark Hull | Contractor | 1465 N Meadow Lakes Loop, Wasilla, AK 99623 | 2014-04-17 |
| Find all providers in zip 99623 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356710859 | Lydia M Petersen | Nurse Practitioner | 545 N Knik St Ste B, Wasilla, AK 99654-7022 | 2015-09-15 |
| 1316093321 | Amy Elder | Nurse Practitioner | 851 E Westpoint Dr Ste 301, Wasilla, AK 99654-7183 | 2007-01-25 |
| 1174151708 | Karis Integrative Medicine, LLC | Nurse Practitioner | 851 E Westpoint Dr Ste 301, Wasilla, AK 99654-7183 | 2020-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437678687 | Mary Ann Barnard | Nurse Practitioner | Joint Base Elmendorf-richardson Hospital, 5955 Zeamer Ave, Anchorage, AK 99506 | 2017-09-19 |
| 1760678726 | Nancy Colleen Spooner | Nurse Practitioner | 4001 Lake Otis Parkway, #101, Anchorage, AK 99508 | 2007-09-23 |
| 1144425653 | Dorothy S Delaney | Nurse Practitioner | 1025 W Barnette St, Fairbanks, AK 99701-4539 | 2007-06-15 |
| 1689795171 | Margaret Ellen Gilmon | Nurse Practitioner | 3054 5th Ave, Ketchikan, AK 99901-5773 | 2007-04-02 |
| 1144340340 | Ann Glasheen | Nurse Practitioner | Yukon-kuskokwim Health Corporation, 700 Chief Eddie Hoffman Highyway, Suite 3000, Bethel, AK 99559-0287 | 2007-03-30 |
| 1598885782 | Claire Lewis | Nurse Practitioner | 700 Chief Eddie Hoffman Highway, Suite 3000, Yukon-kuskokwim Health Corporation, Bethel, AK 99559-0287 | 2007-03-30 |
| 1114044617 | Frances M Kinkead | Nurse Practitioner | 3412 Glacier Hwy, Juneau, AK 99801-9501 | 2007-03-22 |
| 1518091511 | Elizabeth Ann Butera | Nurse Practitioner | 825 L St Rm 102, Anchorage, AK 99501-3337 | 2007-03-14 |
| 1326186040 | Karen E Murray | Nurse Practitioner | 825 L St Ste 102, Anchorage, AK 99501-3337 | 2007-02-02 |
| 1720189889 | Marjorie Grierson Allan | Nurse Practitioner | 1919 Lathrop St Ste 100, Fairbanks, AK 99701-5937 | 2006-09-25 |
| Find all providers with the same taxonomy | ||||
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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.