DAVID M. WITHAM MD INC (NPI# 1194918367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194918367 |
| Entity Type | Organization |
| Organization Name | DAVID M. WITHAM MD INC |
| Practice Address |
1411 19th Ave Fairbanks AK 99701-5902 |
| Practice Telephone | 9074574900 |
| Practice Fax Number | 9074574913 |
| Mailing Telephone | 9074574900 |
| Mailing Fax Number | 9074574913 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |
| Authorized Official Name | DR. DAVID M WITHAM (PRESIDENT) |
| Authorized Official Telephone | 9074525527 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
4607 | AK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PERSONAL NPI | 1457328197 | 01 |
| 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 |
| 1104099050 | John W. Joosse, Md A PC | Orthopaedic Surgery | 1411 19th Ave, Fairbanks, AK 99701-5902 | 2008-04-10 |
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710347349 | Solstice Medicine & Wellness, LLC | Clinic/Center | 475 Riverstone Way # 5, Fairbanks, AK 99709-2945 | 2016-02-24 |
| 1386193472 | Fairbanks Memorial Cardiology Center, LLC | Clinic/Center | 1650 Cowles St Dept 60a, Fairbanks, AK 99701-5907 | 2016-09-29 |
| 1720486814 | Pierre M Johnson, Md PC | Clinic/Center | 2555 Phillips Field Rd, Fairbanks, AK 99709-3933 | 2014-12-05 |
| 1487737284 | Interior Women's Health, LLC | Clinic/Center | 1919 Lathrop St, Ste. 205, Fairbanks, AK 99701-5930 | 2006-10-23 |
| 1992814099 | Robert D. Dingeman, Md | Clinic/Center | 751 Old Richardson Hwy, Suite 101, Fairbanks, AK 99701-7813 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1376075697 | Seven Principles Therapeutics | Clinic/Center | 505 W Northern Lights Bvld, Anchorage, AK 99503 | 2017-03-28 |
| 1730482407 | American Hyperbaric Centers, Inc. | Clinic/Center | 2710 Wesleyan Drive, Suite 201, Anchorage, AK 99508-3776 | 2010-12-17 |
| 1447577200 | Advanced Body Solutions, Inc. | Clinic/Center | 626 Cordova Street Suite 105, Advanced Body Solutions, Anchorage, AK 99501 | 2010-05-03 |
| 1366674699 | Colleen M. Murphy, Md, Facog, Corp | Clinic/Center | 4100 Lake Otis Pkwy Ste 330, Anchorage, AK 99508-5232 | 2009-08-20 |
| 1295988491 | Eastern Aleutian Tribes | Clinic/Center | 1 Airport Rd, Cold Bay, AK 99571 | 2008-10-31 |
| 1881879922 | Wisdom Traditions Counseling Services, LLC | Clinic/Center | 401 W International Rd Ste 27, Anchorage, AK 99518-1168 | 2008-01-08 |
| 1891790184 | Independence Healthcare PC | Clinic/Center | 291 N Fireweed St, Soldotna, AK 99669-7540 | 2005-06-14 |
| 1578178349 | Arctic Medical Center Matsu | Clinic/Center | 1734 Prospect Dr, Palmer, AK 99645 | 2020-09-09 |
| 1962040006 | Arctic Medical Center | Clinic/Center | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503-6089 | 2019-12-19 |
| Find all providers with the same taxonomy | ||||
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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.