ALASKA CHILDRENS HEART CENTER


Address: 3260 Providence Dr, Suite 532, Anchorage, AK 99508-4615
Phone: 9075652242

ALASKA CHILDRENS HEART CENTER (NPI# 1184751075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184751075
Entity Type Organization
Organization Name ALASKA CHILDRENS HEART CENTER
Practice Address 3260 Providence Dr
Suite 532
Anchorage
AK 99508-4615
Mailing Address Po Box 241769
Anchorage
AK 99524-1769
Practice Telephone 9075652242
Practice Fax Number 9075654502
Mailing Telephone 9077702301
Mailing Fax Number 9077702325
Enumeration Date 2007-02-27
Last Update Date 2020-08-22
Authorized Official Name JOSEPH E BEATY (BILLING AGENT)
Authorized Official Telephone 9077702301
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
AK Allopathic & Osteopathic Physicians

Office Location

Street Address 3260 PROVIDENCE DR
SUITE 532
City ANCHORAGE
State AK
Zip Code 99508-4615

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407854052 Peter B Hulman Internal Medicine 3260 Providence Dr, Suite 431, Anchorage, AK 99508-4661 2005-07-08
1679920896 Juliana Santillanes Massage Therapist 3260 Providence Dr, Suite 425, Anchorage, AK 99508-4661 2016-05-17
1255730438 Dorothea Joyleeann Humann Zacharias Advanced Practice Midwife 3260 Providence Dr, Ste 322, Anchorage, AK 99508-4608 2014-08-14
1447679097 Laina Cannon Dietitian, Registered 3260 Providence Dr, Ste 528, Anchorage, AK 99508-4661 2014-04-10
1568725877 Sherifat Ajibike Ope Adenuga Obstetrics & Gynecology 3260 Providence Dr, Ste 322, Anchorage, AK 99508-4661 2012-06-21
1306121892 Jillian Rae Schroeder Social Worker 3260 Providence Dr, C537, Anchorage, AK 99508-4661 2011-10-15
1073809547 Tania H Hall Obstetrics & Gynecology 3260 Providence Dr, Ste 322, Anchorage, AK 99508-4661 2011-06-23
1861784407 Amanda Lynn Beery Obstetrics & Gynecology 3260 Providence Dr, Ste 322, Anchorage, AK 99508-4661 2011-05-13
1700182706 Paula Leslie Phillips Counselor 3260 Providence Dr, Suite 425, Anchorage, AK 99508-4661 2011-02-08
1437466935 Kelly M Foster Nurse Practitioner 3260 Providence Dr, Ste. 523, Anchorage, AK 99508-4661 2010-09-03
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528203551 Seattle Children's Hospital Pediatrics 3260 Providence Dr, Suite 321, Anchorage, AK 99508-4661 2008-12-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669445342 Norma Lynne Allgood Pediatrics 5955 Zeamer Ave, 3rd Medical Group Sgh, Elmendorf Afb, AK 99506-3702 2006-02-11

Competitor

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City ANCHORAGE
Zip Code 99508

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Dataset Information

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.

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