JOHN W. JOOSSE, MD A PC (NPI# 1104099050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104099050 |
| Entity Type | Organization |
| Organization Name | JOHN W. JOOSSE, MD A PC |
| Practice Address |
1411 19th Ave Fairbanks AK 99701-5902 |
| Practice Telephone | 9074565803 |
| Mailing Telephone | 9074565803 |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-30 |
| Authorized Official Name | JOHN W JOOSSE (OWNER) |
| Authorized Official Telephone | 9074565803 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 980 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD0980 | 05 |
| Street Address |
1411 19TH AVE |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-5902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609981265 | John W. Joosse | Specialist | 1411 19th Ave, Fairbanks, AK 99701-5902 | 2006-08-21 |
| 1194918367 | David M. Witham Md Inc | Clinic/Center | 1411 19th Ave, Fairbanks, AK 99701-5902 | 2007-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053341594 | Daniel R Johnson | Orthopaedic Surgery | 3745 Geist Road, Fairbanks, AK 99709-3554 | 2006-07-03 |
| 1356307458 | Mark Alan Wade | Orthopaedic Surgery | 2310 Peger Rd, Ste 105, Fairbanks, AK 99709-5315 | 2006-04-26 |
| 1821516345 | Benjamin Douglas Johnson | Orthopaedic Surgery | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2017-09-05 |
| 1760938021 | Mckinley Orthopedic and Sports Medicine, LLC | Orthopaedic Surgery | 3745 Geist Road, Fairbanks, AK 99709-3554 | 2016-08-28 |
| 1295175651 | Neal Everson | Orthopaedic Surgery | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2013-07-01 |
| 1235448309 | Daniel R Johnson, D.o. | Orthopaedic Surgery | 3745 Geist Rd, Fairbanks, AK 99709-3548 | 2010-10-06 |
| 1629215488 | Orthopaedic Surgical Associates, LLC | Orthopaedic Surgery | 1275 Sadler Way, Suite 101, Fairbanks, AK 99701-3171 | 2009-01-15 |
| 1669619599 | Steese Orthopaedic Associates, LLC | Orthopaedic Surgery | 1405 Kellum St, Suite 101, Fairbanks, AK 99701-4102 | 2009-01-14 |
| 1679642714 | George R Vrablik Md Apc | Orthopaedic Surgery | 1919 Lathrop St, Ste 108, Fairbanks, AK 99701 | 2006-11-06 |
| 1114028602 | Robert Denison Dingeman | Orthopaedic Surgery | 751 Old Richardson Hwy, Suite 101, Fairbanks, AK 99701-7813 | 2006-09-26 |
| Find all providers in FAIRBANKS | ||||
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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.