ERIC A NIMMO MD APC (NPI# 1508124587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508124587 |
| Entity Type | Organization |
| Organization Name | ERIC A NIMMO MD APC |
| Practice Address |
851 E Westpoint Dr Ste 302 Wasilla AK 99654-7191 |
| Practice Telephone | 9073573850 |
| Practice Fax Number | 9073573851 |
| Mailing Telephone | 9073573850 |
| Mailing Fax Number | 9073573851 |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2013-11-07 |
| Authorized Official Name | DR. ERIC A NIMMO (PRESIDENT) |
| Authorized Official Telephone | 9073573850 |
| Authorized Official Credential | MD APC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 408723 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | UPIN | B55382 | 01 |
| AK | MD1446 | 05 |
| Street Address |
851 E WESTPOINT DR STE 302 |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821004383 | Lisa L Harrison | Family Medicine | 851 E Westpoint Dr, Suite 310, Wasilla, AK 99654-7191 | 2006-08-01 |
| 1053963926 | Daisy Vanslyke | Counselor | 851 E Westpoint Dr, Wasilla, AK 99654-7191 | 2019-07-11 |
| 1184074189 | Arctic Pain Relief Center, LLC | Clinic/Center | 851 E Westpoint Dr, Suite B1, Wasilla, AK 99654-7191 | 2016-06-21 |
| 1003244211 | Wild Iris LLC | Family Medicine | 851 E Westpoint Dr, Suite 207, Wasilla, AK 99654-7183 | 2013-10-25 |
| 1871724773 | Christi Hill, Anp Family Psychiatry LLC | Nurse Practitioner | 851 E Westpoint Dr, Ste. 208, Wasilla, AK 99654-7191 | 2009-07-27 |
| 1538359310 | Heather Brock, Inc | Nurse Practitioner | 851 E Westpoint Dr, Ste 208, Wasilla, AK 99654-7142 | 2007-07-27 |
| 1487778304 | Andrew Richard Jaconette | Anesthesiology | 851 E Westpoint Dr, Suite 203, Wasilla, AK 99654-7191 | 2007-03-17 |
| 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 | ||||
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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.