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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | 1014160 | 05 | |
AK | DEA | BZ4562155 | 01 |
Street Address |
1001 NOBLE ST |
City | FAIRBANKS |
State | AK |
Zip Code | 99701-4922 |
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 |
Find all providers in the same location |
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 | 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 |
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 |
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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.