DR. MICHAEL A DIBARTOLO (NPI# 1316999808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316999808 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL A DIBARTOLO |
| Credential | DO |
| Practice Address |
950 E Bogard Rd Ste 103 Wasilla AK 99654-7184 |
| Practice Telephone | 9073522880 |
| Practice Fax Number | 9073522885 |
| Mailing Telephone | 9073522880 |
| Mailing Fax Number | 9073522885 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OP60496207 | WA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 6440 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD1623 | 05 | |
| AK | MEDICAID GROUP # | MDG798 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16528 Desmet Ct, Spokane Valley, WA 992163522 | 5099448910 |
| Street Address |
950 E BOGARD RD STE 103 |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255333738 | Virginia Carol Cooper | Physician Assistant | 950 E Bogard Rd Ste 103, Wasilla, AK 99654-7184 | 2005-08-15 |
| 1427699222 | Matthew John Mau | Physician Assistant | 950 E Bogard Rd Ste 103, Wasilla, AK 99654-7184 | 2019-10-02 |
| 1518488204 | Violeta Diana Yeager | Registered Nurse | 950 E Bogard Rd Ste 103, Wasilla, AK 99654-7184 | 2017-07-03 |
| 1700102696 | Samuel Isaac Inouye | Family Medicine | 950 E Bogard Rd Ste 103, Wasilla, AK 99654-7184 | 2010-04-16 |
| 1497079750 | Corina Bassity | Family Medicine | 950 E Bogard Rd Ste 103, Wasilla, AK 99654-7184 | 2010-03-16 |
| 1992027940 | Nicolas Bradley | Physician Assistant | 950 E Bogard Rd Ste 103, Wasilla, AK 99654-7184 | 2010-02-18 |
| 1588990915 | Rachel Adams | Registered Nurse | 950 E Bogard Rd Ste 103, Wasilla, AK 99654-7184 | 2009-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015562 | Maria L Freeman | Family Medicine | 1261 S Seward Meridian Pkwy Ste A, Wasilla, AK 99654-8372 | 2020-05-28 |
| 1134638141 | Nathan Neves George | Family Medicine | 950 E Bogard Rd Ste 228, Wasilla, AK 99654-7185 | 2017-09-21 |
| 1790184646 | Arctic Physical Medicine Wasilla | Family Medicine | 1830 E Parks Hwy Ste A120, Wasilla, AK 99654-7380 | 2014-08-16 |
| 1033305875 | Family Medicine of Alaska Inc | Family Medicine | 1261 S Seward Meridian Pkwy, Suite A, Wasilla, AK 99654-8334 | 2007-09-14 |
| 1750594818 | Joyce Camille Restad | Family Medicine | 5461 Mayflower, #4, Wasilla, AK 99654 | 2007-05-07 |
| 1053446252 | Robert Neubauer | Family Medicine | 950 Bogard Rd Ste 233, Wasilla, AK 99654-7185 | 2007-02-21 |
| 1245388099 | Duane I Odland | Family Medicine | 950 East Bogard, Suite 234, Wasilla, AK 99654 | 2007-01-08 |
| 1750441820 | Patricia Gail Johnson | Family Medicine | 3223 E Palmer- Wasilla Hwy, Suite 1, Wasilla, AK 99654 | 2006-12-11 |
| 1316015480 | Alaska Medical Clinics, LLC | Family Medicine | 1700 E Parks Hwy, #200, Wasilla, AK 99654-7352 | 2006-11-30 |
| 1275609364 | Jon Anthony Koivunen | Family Medicine | 351 W Swanson Avenue, Suite 4, Wasilla, AK 99654-6853 | 2006-11-28 |
| Find all providers in WASILLA | ||||
Please comment or provide details below to improve the information on DR. MICHAEL A DIBARTOLO.
| 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.