MR. ROGER J GOLUB (NPI# 1528134046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528134046 |
| Entity Type | Individual |
| Full Name | MR. ROGER J GOLUB |
| Credential | MD |
| Practice Address |
209 Moller Ave Sitka AK 99835-7142 |
| Mailing Address |
112 Wolff Drive Sitka AK 99835 |
| Practice Telephone | 9077471701 |
| Practice Fax Number | 9077471726 |
| Mailing Telephone | 9077472932 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2012-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4751 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD8651 | 05 |
| Street Address |
209 MOLLER AVE |
| City | SITKA |
| State | AK |
| Zip Code | 99835-7142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581084 | Sitka Community Hospital | Family Medicine | 209 Moller Ave, Sitka, AK 99835-7142 | 2005-07-11 |
| 1356901961 | Southeast Alaska Regional Health Consortium | Skilled Nursing Facility | 209 Moller Ave, Sitka, AK 99835-7142 | 2019-06-17 |
| 1265092878 | Southeast Alaska Regional Health Consortium | Home Health | 209 Moller Ave, Sitka, AK 99835-7142 | 2019-06-17 |
| 1790345304 | Southeast Alaska Regional Health Consortium | Clinic/Center | 209 Moller Ave, Sitka, AK 99835-7142 | 2019-06-17 |
| 1184281685 | Cheryl Large Lobdell | Physical Therapy Assistant | 209 Moller Ave, Sitka, AK 99835-7142 | 2019-05-21 |
| 1619341237 | Sara Bergendahl | Physical Therapist | 209 Moller Ave, Sitka, AK 99835-7142 | 2015-11-19 |
| 1780085381 | Sitka Community Hospital | General Acute Care Hospital | 209 Moller Ave, Sitka, AK 99835-7142 | 2014-09-15 |
| 1558773978 | Gregory Siera | Registered Nurse | 209 Moller Ave, Sitka, AK 99835-7142 | 2014-05-21 |
| 1871892786 | Donald Russell Johnson Md Phd | Dermatology | 209 Moller Ave, Sitka, AK 99835-7142 | 2011-03-17 |
| 1033316229 | George A Burnstein Jr. | Registered Nurse | 209 Moller Ave, Sitka, AK 99835-7142 | 2007-06-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268116 | Rodney Ray Racaza | Pharmacist | 222 Tongass Drive Pharmacy, Sitka, AK 99835 | 2020-09-01 |
| 1003462052 | Tiffany Marie Johnson | Nurse's Aide | 1209 Seward Ave., Sitka, AK 99835 | 2019-08-15 |
| 1841843794 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1200 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1992358840 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1212 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1154973857 | Jeffrey Mossige | Counselor | Searhc - Raven's Way 222 Tongass Dr., Sitka, AK 99835 | 2019-07-12 |
| 1689194599 | Heather Chandler | Social Worker | 113 Metlakatla Steet, Sitka, AK 99835 | 2017-06-21 |
| 1730548462 | Southeast Alaska Regional Health Consortium | Medicare Defined Swing Bed Unit | 222 Tongass Blvd, Sitka, AK 99835 | 2016-02-23 |
| 1275967291 | Debra R Wilson | Registered Nurse | 222 Tongass Airport Road, Sitka, AK 99835 | 2013-08-27 |
| 1700167830 | Allison Richmond Allen | Physical Therapy Assistant | 12 Lifesaver Drive, Sitka, AK 99835 | 2011-09-02 |
| 1023336617 | Hollie E Mulanax | Community Health Worker | 408 Lake Street #2, Sitka, AK 99835 | 2010-05-07 |
| Find all providers in zip 99835 | ||||
| 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 |
|---|---|---|---|---|
| 1164647723 | Moore Clinic Inc | Family Medicine | 209 Moller Drive, Sitka, AK 99835 | 2007-04-17 |
| 1932200946 | Susan Spevack Carlson | Family Medicine | 222 Shotgun Alley, Sitka, AK 99835-1867 | 2006-09-25 |
| 1497851612 | Donald R. Lehmann | Family Medicine | 700 Katlian St, Suite E, Sitka, AK 99835-7314 | 2006-09-15 |
| 1841245388 | Kimberly Lynn Bakkes | Family Medicine | 700 Katlian St Ste E, Sitka, AK 99835-7359 | 2006-05-23 |
| 1770581084 | Sitka Community Hospital | Family Medicine | 209 Moller Ave, Sitka, AK 99835-7142 | 2005-07-11 |
| 1679951438 | Lisa Marie Antonio | Family Medicine | 222 Tongass Dr, Sitka, AK 99835 | 2015-05-13 |
| 1487073813 | Laurel Skeek | Family Medicine | 222 Tongass Dr, Sitka, AK 99835-9416 | 2014-04-14 |
| 1023339348 | Courtney Alana Hayashi Vickery | Family Medicine | 222 Tongass Dr, Sitka, AK 99835-9416 | 2010-06-22 |
| 1922327568 | Irbert Vega | Family Medicine | 222 Tongass Dr, Sitka, AK 99835-9416 | 2010-05-21 |
| 1912178526 | Tracey Marie Columb | Family Medicine | 700 Katlian St, Sitka, AK 99835-7359 | 2008-03-23 |
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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.