MARK E FLANUM (NPI# 1184675126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184675126 |
| Entity Type | Individual |
| Full Name | MARK E FLANUM |
| Credential | M.D. |
| Practice Address |
3801 Lake Otis Pkwy Suite 300 Anchorage AK 99508-5234 |
| Practice Telephone | 9075622277 |
| Practice Fax Number | 9075633460 |
| Mailing Telephone | 9075622277 |
| Mailing Fax Number | 9075633460 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2016-02-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 6987 | AK | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
6987 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1019990 | 05 |
| Street Address |
3801 LAKE OTIS PKWY SUITE 300 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356349005 | Kathleen S Nuttle | Physician Assistant | 3801 Lake Otis Pkwy, Suite 300, Anchorage, AK 99508-5234 | 2005-07-07 |
| 1982255949 | Matthew Mark Obermeyer | Physical Therapist | 3801 Lake Otis Pkwy, Anchorage, AK 99508-5234 | 2019-09-21 |
| 1003475559 | Eva Cress Lyons | Occupational Therapist | 3801 Lake Otis Pkwy, Anchorage, AK 99508-5234 | 2019-06-09 |
| 1295299063 | Bethany Allen Davies | Physician Assistant | 3801 Lake Otis Pkwy, Anchorage, AK 99508-5234 | 2019-01-25 |
| 1184195877 | Alpine Surgicenter, LLC | Clinic/Center | 3801 Lake Otis Pkwy, Anchorage, AK 99508-5234 | 2018-12-06 |
| 1356824577 | Chelsea Dyson | Physical Therapist | 3801 Lake Otis Pkwy, Anchorage, AK 99508-5234 | 2018-09-13 |
| 1073011094 | Erin Schindler | Physical Therapy Assistant | 3801 Lake Otis Pkwy, Anchorage, AK 99508-5234 | 2018-01-24 |
| 1679009963 | Brady Ulrich | Physician Assistant | 3801 Lake Otis Pkwy, Ste 300, Anchorage, AK 99508-5234 | 2017-05-04 |
| 1396282968 | Richard Jordan | Physical Therapy Assistant | 3801 Lake Otis Pkwy, Suite 300, Anchorage, AK 99508-5234 | 2017-01-20 |
| 1336504521 | Orthoalaska, LLC | Internal Medicine | 3801 Lake Otis Pkwy, Suite 300, Anchorage, AK 99508-5234 | 2015-12-15 |
| 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 | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902834153 | Upshur M Spencer | Orthopaedic Surgery | 3831 Piper St, Suite S-220, Anchorage, AK 99508-4672 | 2006-06-28 |
| 1922036201 | Davis C Peterson | Orthopaedic Surgery | 3831 Piper St, Suite S-220, Anchorage, AK 99508-4672 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437339454 | Brent M. Adcox | Orthopaedic Surgery | 4201 Bartlett St Ste 201, Homer, AK 99603-7015 | 2007-11-07 |
| 1497002968 | Kenai Spine LLC | Orthopaedic Surgery | 291 N Fireweed St, Soldotna, AK 99669-7540 | 2012-08-14 |
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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.