DR. MYRON FRIBUSH (NPI# 1184702102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184702102 |
| Entity Type | Individual |
| Full Name | DR. MYRON FRIBUSH |
| Credential | M.D. |
| Practice Address |
209 Moller Ave Mountainside Family Healthcare Sitka AK 99835-7142 |
| Practice Telephone | 9077471722 |
| Practice Fax Number | 9077471755 |
| Mailing Telephone | 9077471722 |
| Mailing Fax Number | 9077471755 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-08-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
5255 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD4646 | 05 |
| Street Address |
209 MOLLER AVE MOUNTAINSIDE FAMILY HEALTHCARE |
| City | SITKA |
| State | AK |
| Zip Code | 99835-7142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581084 | Sitka Community Hospital | Family Medicine | 209 Moller Ave, Sitka, AK 99835-7142 | 2005-07-11 |
| 1356901961 | Southeast Alaska Regional Health Consortium | Skilled Nursing Facility | 209 Moller Ave, Sitka, AK 99835-7142 | 2019-06-17 |
| 1265092878 | Southeast Alaska Regional Health Consortium | Home Health | 209 Moller Ave, Sitka, AK 99835-7142 | 2019-06-17 |
| 1790345304 | Southeast Alaska Regional Health Consortium | Clinic/Center | 209 Moller Ave, Sitka, AK 99835-7142 | 2019-06-17 |
| 1184281685 | Cheryl Large Lobdell | Physical Therapy Assistant | 209 Moller Ave, Sitka, AK 99835-7142 | 2019-05-21 |
| 1619341237 | Sara Bergendahl | Physical Therapist | 209 Moller Ave, Sitka, AK 99835-7142 | 2015-11-19 |
| 1780085381 | Sitka Community Hospital | General Acute Care Hospital | 209 Moller Ave, Sitka, AK 99835-7142 | 2014-09-15 |
| 1558773978 | Gregory Siera | Registered Nurse | 209 Moller Ave, Sitka, AK 99835-7142 | 2014-05-21 |
| 1871892786 | Donald Russell Johnson Md Phd | Dermatology | 209 Moller Ave, Sitka, AK 99835-7142 | 2011-03-17 |
| 1033316229 | George A Burnstein Jr. | Registered Nurse | 209 Moller Ave, Sitka, AK 99835-7142 | 2007-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268116 | Rodney Ray Racaza | Pharmacist | 222 Tongass Drive Pharmacy, Sitka, AK 99835 | 2020-09-01 |
| 1003462052 | Tiffany Marie Johnson | Nurse's Aide | 1209 Seward Ave., Sitka, AK 99835 | 2019-08-15 |
| 1841843794 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1200 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1992358840 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1212 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1154973857 | Jeffrey Mossige | Counselor | Searhc - Raven's Way 222 Tongass Dr., Sitka, AK 99835 | 2019-07-12 |
| 1689194599 | Heather Chandler | Social Worker | 113 Metlakatla Steet, Sitka, AK 99835 | 2017-06-21 |
| 1730548462 | Southeast Alaska Regional Health Consortium | Medicare Defined Swing Bed Unit | 222 Tongass Blvd, Sitka, AK 99835 | 2016-02-23 |
| 1275967291 | Debra R Wilson | Registered Nurse | 222 Tongass Airport Road, Sitka, AK 99835 | 2013-08-27 |
| 1700167830 | Allison Richmond Allen | Physical Therapy Assistant | 12 Lifesaver Drive, Sitka, AK 99835 | 2011-09-02 |
| 1023336617 | Hollie E Mulanax | Community Health Worker | 408 Lake Street #2, Sitka, AK 99835 | 2010-05-07 |
| Find all providers in zip 99835 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669652962 | John J. Smith | Family Medicine | 4900 Eagle St, Anchorage, AK 99503-7446 | 2007-11-05 |
| 1467554238 | Kelly C Conright | Family Medicine | 9100 Centennial Cir, Anchorage, AK 99504-1480 | 2006-09-02 |
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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.