WENCESLOUS FRU (NPI# 1245608975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245608975 |
| Entity Type | Individual |
| Full Name | WENCESLOUS FRU |
| Credential | PA-C |
| Practice Address |
3300 Providence Dr Suite B314 Anchorage AK 99508-4690 |
| Mailing Address |
22301 W Alsop Rd Wasilla AK 99623-5023 |
| Practice Telephone | 9072123420 |
| Practice Fax Number | 9072123429 |
| Mailing Telephone | 9075382308 |
| Mailing Fax Number | 9078648452 |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 114514 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3300 PROVIDENCE DR SUITE B314 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-4690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760483556 | Credena Health LLC | Durable Medical Equipment & Medical Supplies | 3300 Providence Dr, Ste 101, Anchorage, AK 99508-4671 | 2005-08-03 |
| 1487192464 | Becky Pletzer | Social Worker | 3300 Providence Dr, Suite B314, Anchorage, AK 99508-4690 | 2017-02-09 |
| 1033564901 | Megan Hultquist | Social Worker | 3300 Providence Dr, Suite B314, Anchorage, AK 99508-4690 | 2016-04-28 |
| 1669842241 | Amy Paul | Pharmacist | 3300 Providence Dr, Ste B314, Anchorage, AK 99508-4690 | 2015-09-25 |
| 1306263504 | Karen Marie Scholz | Social Worker | 3300 Providence Dr, Suite B314, Anchorage, AK 99508-4690 | 2014-03-25 |
| 1033542899 | Alaska Nephrologists LLC | Internal Medicine | 3300 Providence Dr, Suite 304, Anchorage, AK 99508-4690 | 2013-08-15 |
| 1639419161 | Kelley Leanne Smart | Social Worker | 3300 Providence Dr, Suite B314, Anchorage, AK 99508-4690 | 2013-02-20 |
| 1811278161 | Kidney and Hypertension Clinic of Alaska LLC | Internal Medicine | 3300 Providence Dr, Building B, Suite 02, Anchorage, AK 99508-4671 | 2011-08-31 |
| 1174821383 | Cynthia Mcginty | Nurse Practitioner | 3300 Providence Dr, Suite B314, Anchorage, AK 99508-4690 | 2011-03-11 |
| 1659675965 | Megan Engler | Physician Assistant | 3300 Providence Dr, Suite B314, Anchorage, AK 99508-4690 | 2010-12-29 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912426040 | Ashley Boge | Physician Assistant | 2925 Debarr Rd Ste D350, Anchorage, AK 99508-2959 | 2017-09-09 |
| 1215455597 | Leigha Henry-waugh | Physician Assistant | 3724 Lincoln Ellsworth Ct Unit B, Anchorage, AK 99517-2354 | 2017-09-06 |
| 1003264052 | Kimberley Aikey | Physician Assistant | 1400 E 4th Ave, Anchorage, AK 99501-2857 | 2016-06-01 |
| 1457709008 | Betsy Louise Douds-paczan | Physician Assistant | 4701 Kenai Avenue, Anchorage, AK 99508 | 2016-05-24 |
| 1689021693 | Stephanie Marie Guzman | Physician Assistant | 4320 Diplomacy Dr Ste 2191, Anchorage, AK 99508-5925 | 2016-05-19 |
| 1972977866 | Alaska Medical Services Inc. | Physician Assistant | 2240 Paxson Dr Unit 1, Anchorage, AK 99504-3412 | 2015-11-16 |
| 1245610955 | Aaron M Thrasher | Physician Assistant | 4100 Lake Otis Parkway Suite 200, Anchorage, AK 99508 | 2015-06-08 |
| 1861891285 | Shawna J Mcelroy | Physician Assistant | 1389 Huffman Road, #150, Anchorage, AK 99515 | 2014-08-21 |
| 1891030789 | Katharine J Linduska | Physician Assistant | 4320 Diplomacy Dr Ste 2121, Anchorage, AK 99508-5925 | 2012-12-03 |
| 1659623031 | Alana Mandalapa | Physician Assistant | 1310 E Dimond Blvd Ste 1, Anchorage, AK 99515-2031 | 2012-10-09 |
| Find all providers in ANCHORAGE | ||||
Please comment or provide details below to improve the information on WENCESLOUS FRU.
| 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.