BRIAN KIP COYNE (NPI# 1407986979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407986979 |
| Entity Type | Individual |
| Full Name | BRIAN KIP COYNE |
| Credential | DPM |
| Practice Address |
11951 E Palmer Wasilla Hwy Palmer AK 99645 |
| Practice Telephone | 9077465678 |
| Mailing Telephone | 9077465678 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2014-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 3355 | AK | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | PD11482 | 05 | |
| AK | PD1148 | 05 | |
| AK | PD11481 | 05 | |
| AK | PD11483 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871732115 | Brian J Coyne | Rehabilitation Practitioner | 700 University Ave, University of Louisiana At Monroe, Dept. of Kinesiology, Monroe, LA 71209-9000 | 2009-02-10 |
| 1457306334 | Brian Coyne | Family Medicine | 18785 Brookhurst St, Suite 200, Fountain Valley, CA 92708-7300 | 2006-05-23 |
| Street Address |
11951 E PALMER WASILLA HWY |
| City | PALMER |
| State | AK |
| Zip Code | 99645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740319789 | Mary Coyne | Dentist | 11951 E Palmer Wasilla Hwy, Palmer, AK 99645 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357135 | Kasey M Flintoft | Occupational Therapist | 7200 E. Jim Cottrell Cir, Palmer, AK 99645 | 2020-05-14 |
| 1629601471 | Courtney Randol | Licensed Practical Nurse | 14405 E Pace Dr., Palmer, AK 99645 | 2020-02-20 |
| 1689213092 | Valerie Anne Delaune | Acupuncturist | 9693 N. Little Otter Dr., Palmer, AK 99645 | 2020-01-02 |
| 1003464512 | Alaskan Sunrise Behavioral Health, L.L.C. | Clinic/Center | 14460 E. Pace Dr., Palmer, AK 99645 | 2019-08-28 |
| 1548814718 | Maple Springs of Palmer Snf Holdings, LLC | Skilled Nursing Facility | 12130 E Maple Springs Way, Palmer, AK 99645 | 2019-07-26 |
| 1952868655 | Carla Beth Kelly | Physical Therapist | 7200 Jim Cottrell Circle, Palmer, AK 99645 | 2019-02-28 |
| 1366938375 | Wendy S Page | Behavior Technician | 7200 E Jim Cottrell, Wasilla, AK 99645 | 2018-07-03 |
| 1154845170 | Sarah Elizabeth Gilliland | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2017-08-01 |
| 1558885137 | Garland Brooks | Massage Therapist | 1934 Prospect Dr, Palmer, AK 99645 | 2017-07-26 |
| 1386165009 | Sommer Dawn Nielsen | Massage Therapist | 3566 N Mars Ave., Palmer, AK 99645 | 2017-07-03 |
| Find all providers in zip 99645 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265562623 | Traveling Foot Doctor, P.C. | Podiatrist | 22434 Eagle Glacier Loop, P.o. B. 772394-2394, Eagle River, AK 99577-9531 | 2007-03-06 |
| 1699862391 | Southeast Foot & Ankle Center Inc | Podiatrist | 7691 Glacier Hwy, Juneau, AK 99801 | 2006-10-06 |
| 1023083870 | Manx Quayle | Podiatrist | 1626 30th Ave Ste 202, Suite 202, Fairbanks, AK 99701-7423 | 2006-02-22 |
| 1710976535 | David R Randall | Podiatrist | 4100 Lake Otis Pky Ste 312, Anchorage, AK 99508-5231 | 2005-10-14 |
| 1033441423 | Aurora Foot & Ankle Surgical Specialists, LLC | Podiatrist | 1626 30th Ave Ste 202, Fairbanks, AK 99701 | 2010-02-09 |
| 1700011897 | Alaska Native Tribal Health Consortium | Podiatrist | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2009-05-19 |
| 1639367600 | Anh T Lam | Podiatrist | 7691 Glacier Hwy, Juneau, AK 99801-7912 | 2007-10-04 |
| 1558498402 | Ralph Sylvan Dixon | Podiatrist | 1405 Kellum St, Suite 200, Fairbanks, AK 99701-4189 | 2007-02-27 |
| 1982740668 | Mark C Rindlisbacher | Podiatrist | 800 E Dimond Blvd, Suite 3-417, Anchorage, AK 99515-2061 | 2007-01-29 |
| 1982716387 | Bruce Alan Reddish | Podiatrist | 2925 Debarr Rd, Anchorage, AK 99508-2983 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
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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.