INTEGRATIVE PAIN CENTER OF ALASKA, LLC (NPI# 1417200551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417200551 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE PAIN CENTER OF ALASKA, LLC |
| Practice Address |
1275 Sadler Way Suite 101 Fairbanks AK 99701-3171 |
| Practice Telephone | 9073746602 |
| Practice Fax Number | 9073746604 |
| Mailing Telephone | 9073746602 |
| Mailing Fax Number | 9073746604 |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2013-02-22 |
| Authorized Official Name | NANCY CROSS (MD) |
| Authorized Official Telephone | 9073746602 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1275 SADLER WAY SUITE 101 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-3171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043243470 | Anne Marie Lilley | Nurse Practitioner | 1275 Sadler Way, #101, Fairbanks, AK 99701-3171 | 2006-07-09 |
| 1528588126 | Matthew Poggemiller | Physical Therapist | 1275 Sadler Way, Fairbanks, AK 99701-3175 | 2017-06-23 |
| 1225562721 | Nathaniel C Miller | Physical Therapist | 1275 Sadler Way, Suite 201, Fairbanks, AK 99701-3175 | 2017-04-12 |
| 1033650130 | Tara J Scogin | Physical Therapist | 1275 Sadler Way, Suite 201, Fairbanks, AK 99701-3175 | 2017-03-09 |
| 1194264770 | Glenn Eduard Christiane Wuyts | Physical Therapist | 1275 Sadler Way, Fairbanks, AK 99701-3175 | 2017-02-16 |
| 1184007585 | Dain Gilbert | Physical Therapist | 1275 Sadler Way, Suite 201, Fairbanks, AK 99701-3175 | 2015-07-02 |
| 1073940128 | Emily Roberts Rogers | Physical Therapist | 1275 Sadler Way, Ste 201, Fairbanks, AK 99701-3171 | 2013-10-03 |
| 1285922104 | Steese Immediate Care | Clinic/Center | 1275 Sadler Way, #101, Fairbanks, AK 99701 | 2011-07-12 |
| 1659673002 | Avee Lynn Runser | Physician Assistant | 1275 Sadler Way, Suite 101, Fairbanks, AK 99701-3171 | 2010-11-17 |
| 1881826394 | Matija Elizabeth Meenaghan | Chiropractor | 1275 Sadler Way, Ste. 101, Fairbanks, AK 99701-3175 | 2009-08-17 |
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619203585 | Northern Lights Pain Management LLC | Anesthesiology | 1320 22nd Ave, Fairbanks, AK 99701-6516 | 2009-10-27 |
| 1174537674 | Nancy E Cross | Anesthesiology | 1275 Sadler Way, Suite 101, Fairbanks, AK 99701-3171 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508321639 | Giving Hope, LLC | Anesthesiology | 2000 Abbott Rd # A2, Anchorage, AK 99507-3878 | 2019-02-03 |
| 1790112506 | Hyun Sun Chung | Anesthesiology | 427 E Fireweed Ln, Anchorage, AK 99503-2111 | 2013-10-11 |
| 1922338854 | Alaska Spine & Pain Center, LLC | Anesthesiology | 500 E Benson Blvd Ste 103, Anchorage, AK 99503 | 2009-12-24 |
| 1538338132 | Interventional Pain Consultants of Alaska | Anesthesiology | 2751 Debarr Rd Ste B380, Anchorage, AK 99508-6811 | 2008-02-27 |
| 1548300205 | Nichelle Cook Renk | Anesthesiology | 2000 Abbott Rd Ste A2, Anchorage, AK 99507-3878 | 2007-02-08 |
| 1518980556 | Jon A Hinman | Anesthesiology | 3035 Palmer-wasilla Hwy, Unit 501, Wasilla, AK 99654 | 2006-07-25 |
| 1437170586 | Grant T Roderer | Anesthesiology | 1917 Abbott Rd, Suite 100, Anchorage, AK 99507 | 2006-07-22 |
| 1831145929 | Mahmood Ahmad | Anesthesiology | 4050 Lake Otis Pkwy, Suite 107, Anchorage, AK 99508-5223 | 2006-05-26 |
| 1306263728 | Derek David Bradley | Anesthesiology | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2014-03-24 |
| 1265795983 | Urban Anesthesiology, P.c | Anesthesiology | 4001 Laurel St, Suite 202, Anchorage, AK 99508-5300 | 2012-06-18 |
| 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.