DAVID KENT ZETTERMAN


Address: 1001 Noble St, Fairbanks, AK 99701-4922
Phone: 9074593500

DAVID KENT ZETTERMAN (NPI# 1245239524) 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) 1245239524
Entity Type Individual
Full Name DAVID KENT ZETTERMAN
Credential MD
Practice Address 1001 Noble St
Fairbanks
AK 99701-4922
Practice Telephone 9074593500
Practice Fax Number 9074593588
Mailing Telephone 9074593500
Mailing Fax Number 9074593588
Enumeration Date 2005-07-19
Last Update Date 2016-12-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 9941 ND Allopathic & Osteopathic Physicians
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
4287 AK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AK 1014160 05
AK DEA BZ4562155 01

Office Location

Street Address 1001 NOBLE ST
City FAIRBANKS
State AK
Zip Code 99701-4922

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811501679 Professional Pharmacy LLC Pharmacy 1001 Noble St, Fairbanks, AK 99701-4948 2020-08-31
1942862149 Jaime Nicole Sawchuk Counselor 1001 Noble St, Fairbanks, AK 99701-4948 2019-07-08
1154821593 Shelby A Braun Dietitian, Registered 1001 Noble St, Fairbanks, AK 99701-4948 2018-02-12
1417492463 Nancy Davidian Registered Nurse 1001 Noble St, Fairbanks, AK 99701-4948 2016-12-29
1437691771 Katie Garrity Dietitian, Registered 1001 Noble St, Suite 450, Fairbanks, AK 99701-4948 2016-11-16
1922559558 Tanana Valley Clinic LLC Clinic/Center 1001 Noble St, Fairbanks, AK 99701-4948 2016-10-19
1801240221 Heather Powers Dietitian, Registered 1001 Noble St, Fairbanks, AK 99701-4948 2016-04-21
1023492642 Jennifer Ribar Neuromusculoskeletal Medicine & OMM 1001 Noble St, Fairbanks, AK 99701-4948 2015-07-14
1013399708 Rebekah L. Burket Counselor 1001 Noble St, Fairbanks, AK 99701-4948 2015-06-18
1316333610 John Mckenna Obstetrics & Gynecology 1001 Noble St, Fairbanks, AK 99701-4948 2015-04-13
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669652962 John J. Smith Family Medicine 4900 Eagle St, Anchorage, AK 99503-7446 2007-11-05
1184702102 Myron Fribush Family Medicine 209 Moller Ave, Mountainside Family Healthcare, Sitka, AK 99835-7142 2006-11-01
1467554238 Kelly C Conright Family Medicine 9100 Centennial Cir, Anchorage, AK 99504-1480 2006-09-02

Competitor

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City FAIRBANKS
Zip Code 99701

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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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