AMBRIA MARIE THOMAS (NPI# 1144536061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144536061 |
| Entity Type | Individual |
| Full Name | AMBRIA MARIE THOMAS |
| Credential | PA |
| Practice Address |
3745 Geist Rd Fairbanks AK 99709-3548 |
| Practice Telephone | 9074563338 |
| Practice Fax Number | 9074563443 |
| Mailing Telephone | 9074563338 |
| Mailing Fax Number | 9074563443 |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2019-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
AK | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
AK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3745 GEIST RD |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99709-3548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689625964 | Van E Lamore | Physician Assistant | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2006-05-12 |
| 1740890011 | Shannen Mcnamara | Physician Assistant | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2020-08-03 |
| 1164082202 | Anders Harbord Carlson | Physical Therapist | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2019-06-20 |
| 1821516345 | Benjamin Douglas Johnson | Orthopaedic Surgery | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2017-09-05 |
| 1487172011 | Dayna M Daku | Physician Assistant | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2017-09-04 |
| 1407304017 | Mckinley Sports Medicine, LLC | Family Medicine | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2016-09-13 |
| 1295184703 | Samantha Paige Smith | Specialist/Technologist | 3745 Geist Rd, Fairbanks, AK 99709 | 2016-06-06 |
| 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 |
| 1801054879 | Jennifer A Holt | Physician Assistant | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2008-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
| 1235629544 | Fairbanks Healing Space | Health Educator | 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 | 2018-05-11 |
| 1609395409 | Shawn K Goggins | Counselor | 1423 Peger Road, Fairbanks, AK 99709 | 2017-09-12 |
| 1710433347 | Jay Titus | Technician/Technologist | 2884 Marina Drive, Fairbanks, AK 99709 | 2016-09-01 |
| 1710391610 | Hannah Summerfelt | Dentist | 3539 Thomas St, Fairbanks, AK 99709 | 2014-06-18 |
| 1629407325 | Diane Louise Mitchell | Nurse Practitioner | 4650 Harvard Cir, Fairbanks, AK 99709 | 2013-11-04 |
| 1407147929 | Christina Martz | Counselor | 1270 Summet Drive, Fairbanks, AK 99709 | 2011-05-02 |
| 1255652285 | Surgery Center of Fairbanks LLC | Clinic/Center | 2310 Peger Road, Fairbanks, AK 99709 | 2010-06-14 |
| 1962661835 | John Leo Hughes Jr Jr. | Dentist | 3437 Airport Way, Suite 205, Fairbanks, AL 99709 | 2008-06-05 |
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| Find all providers in zip 99709 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801314596 | Sara Breann Langford | Physician Assistant | 575 Riverstone Way Unit 1, Fairbanks, AK 99709-2939 | 2017-09-01 |
| 1033451703 | Allison Cooper | Physician Assistant | 2310 Peger Rd Suite 105, Fairbanks, AK 99709-4848 | 2013-03-20 |
| 1487928784 | Michael Jon Voorhees | Physician Assistant | 1717 Cowles Street, Fairbanks, AK 99701 | 2012-03-05 |
| 1487926218 | Steven Lee Craddick | Physician Assistant | 1867 Airport Frontage Road, Suite B (u.s. Healthworks Alaska), Fairbanks, AK 99701-1867 | 2012-02-09 |
| 1245491125 | Bridget Anne Johnson | Physician Assistant | 3875 Geist Rd, Suite E381, Fairbanks, AK 99709-3549 | 2008-06-23 |
| 1720092067 | Sylvia Ann Mccormick | Physician Assistant | 1008 16th Ave Ste 100, Fairbanks, AK 99701-6078 | 2006-07-29 |
| 1982627667 | Lindsay Leland Roberts | Physician Assistant | 2166 Yellow Leaf Ct, Fairbanks, AK 99709-6278 | 2006-07-25 |
| 1427078161 | Judy Lynn Lowe | Physician Assistant | 1867 Airport Way Ste 130b, Fairbanks, AK 99701-4056 | 2006-07-19 |
| 1689625964 | Van E Lamore | Physician Assistant | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2006-05-12 |
| 1023091618 | Caryn Scott | Physician Assistant | 201 1st Ave, Suite 200, Fairbanks, AK 99701-4848 | 2005-11-28 |
| 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.