SUSAN BERTRAND (NPI# 1285627869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285627869 |
| Entity Type | Individual |
| Full Name | SUSAN BERTRAND |
| Credential | MD |
| Practice Address |
4100 Lake Otis Pkwy Suite 216 Anchorage AK 99508-5222 |
| Mailing Address |
4100 Lake Otis Pkwy Ste 216 Anchorage AK 99508-5230 |
| Practice Telephone | 9075632873 |
| Practice Fax Number | 9075635852 |
| Mailing Telephone | 9075632873 |
| Mailing Fax Number | 9075635852 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2010-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
5168 | AK | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
5168 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | WA DEPT OF L&I | 0190956 | 01 |
| AK | MD5212 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790935120 | Susan L Bertrand | Registered Nurse | 866 County St, Somerset, MA 02726-5034 | 2008-09-23 |
| Street Address |
4100 LAKE OTIS PKWY SUITE 216 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275535502 | Colleen Mary Elizabeth Murphy | Specialist | 4100 Lake Otis Pkwy, Ste 330, Anchorage, AK 99508-5232 | 2005-05-31 |
| 1003389032 | Ashliegh Levesque | Specialist/Technologist, Other | 4100 Lake Otis Pkwy, Anchorage, AK 99508-5229 | 2019-01-02 |
| 1568961407 | Julia Hyatt | Nurse Anesthetist, Certified Registered | 4100 Lake Otis Pkwy, Anchorage, AK 99508-5229 | 2018-02-06 |
| 1720525942 | Colleen Curley | Nurse Anesthetist, Certified Registered | 4100 Lake Otis Pkwy, Ste102, Anchorage, AK 99508-5229 | 2017-01-25 |
| 1053862607 | U.S. Healthworks Medical Group of Alaska, LLC | Family Medicine | 4100 Lake Otis Pkwy, Suite 322, Anchorage, AK 99508-5229 | 2016-10-19 |
| 1043761695 | U.S. Healthworks Medical Group of Alaska, LLC | Clinic/Center | 4100 Lake Otis Pkwy, Suite 100, Anchorage, AK 99508-5229 | 2016-10-19 |
| 1679920565 | Leslie Tolliver II | Physician Assistant | 4100 Lake Otis Pkwy, Suite 206, Anchorage, AK 99508-5229 | 2016-05-20 |
| 1205298957 | Primary Care Associates | Clinic/Center | 4100 Lake Otis Pkwy, Suite 322, Anchorage, AK 99508-5229 | 2016-03-22 |
| 1922468743 | Kristin Ashby | Nurse Practitioner | 4100 Lake Otis Pkwy, Suite 322, Anchorage, AK 99508-5229 | 2016-03-07 |
| 1902286701 | Adrian Barniak | Physical Therapist | 4100 Lake Otis Pkwy, Suite 106, Anchorage, AK 99508-5229 | 2015-06-05 |
| 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 | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730319039 | Casandra Rosenberg Mysior | Physical Medicine & Rehabilitation | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2009-07-21 |
| 1962473223 | Larry Levine | Physical Medicine & Rehabilitation | 3801 University Lake Dr, Anchorage, AK 99508-4639 | 2006-01-26 |
| 1598736852 | Michel Gevaert | Physical Medicine & Rehabilitation | 3801 University Lake Dr, Anchorage, AK 99508-4639 | 2006-01-26 |
| 1952372211 | Sean Taylor | Physical Medicine & Rehabilitation | 3801 Lake Otis Pkwy, Suite 300, Anchorage, AK 99508-5234 | 2006-01-26 |
| 1699746941 | Shawn Johnston | Physical Medicine & Rehabilitation | 3801 University Lake Dr, Anchorage, AK 99508-4639 | 2006-01-26 |
| 1144291493 | Michael James | Physical Medicine & Rehabilitation | 3801 University Lake Dr, Anchorage, AK 99508-4639 | 2006-01-26 |
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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.