MARC J KORNMESSER (NPI# 1497783260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497783260 |
| Entity Type | Individual |
| Full Name | MARC J KORNMESSER |
| Credential | M.D. |
| Practice Address |
3801 Lake Otis Pkwy, Suite 300 Anchorage AK 99508-5230 |
| Practice Telephone | 9075622277 |
| Practice Fax Number | 9075633460 |
| Mailing Telephone | 9075622277 |
| Mailing Fax Number | 9075633460 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2016-02-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 5510 | AK | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
5510 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1019917 | 05 |
| Street Address |
3801 LAKE OTIS PKWY, SUITE 300 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225066095 | Eugene M Chang | Orthopaedic Surgery | 3801 Lake Otis Pkwy, Suite 300, Anchorage, AK 99508-5230 | 2006-06-29 |
| 1144250416 | Robert J Hall | Orthopaedic Surgery | 3801 Lake Otis Pkwy, Suite 300, Anchorage, AK 99508-5230 | 2006-07-03 |
| 1053341321 | James M Bliven | Physician Assistant | 3801 Lake Otis Pkwy, Suite 300, Anchorage, AK 99508-5230 | 2006-07-03 |
| 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 | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891882213 | Kurt D Mentzer | Orthopaedic Surgery | 3831 Piper Street S220, Anchorage, AK 99508 | 2006-10-06 |
| 1215371430 | Alan Swenson | Orthopaedic Surgery | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2013-04-18 |
| 1881937282 | Mary Patricia Fox | Orthopaedic Surgery | 3831 Piper St Ste S220, Anchorage, AK 99508-4680 | 2013-04-03 |
| 1144545476 | Jessie Willow Janowski | Orthopaedic Surgery | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508 | 2010-03-30 |
| 1497994859 | Michael G Mcnamara Md LLC | Orthopaedic Surgery | 4015 Lake Otis Pkwy, Ste 201, Anchorage, AK 99508 | 2009-02-09 |
| 1487684791 | Leslie P Dean | Orthopaedic Surgery | 3831 Piper St, Suite S-220, Anchorage, AK 99508-4672 | 2006-07-03 |
| 1851327274 | Alaska Orthopaedic Specialists, Inc | Orthopaedic Surgery | 4100 Lake Otis Pkwy, Suite 320, Anchorage, AK 99508-5222 | 2006-06-25 |
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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.