FAIRBANKS MEDICAL IMAGING LLC (NPI# 1528360625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528360625 |
| Entity Type | Organization |
| Organization Name | FAIRBANKS MEDICAL IMAGING LLC |
| Practice Address |
2310 Peger Rd Suite 102 Fairbanks AK 99709-5305 |
| Mailing Address |
1320 E Division St Mount Vernon WA 98274-4133 |
| Practice Telephone | 3604246161 |
| Practice Fax Number | 3608481167 |
| Mailing Telephone | 3604246161 |
| Mailing Fax Number | 3608481167 |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2012-03-27 |
| Authorized Official Name | JOHN T BURKE (PHYSICIAN) |
| Authorized Official Telephone | 3604246161 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
2310 PEGER RD SUITE 102 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99709-5305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356307458 | Mark Alan Wade | Orthopaedic Surgery | 2310 Peger Rd, Ste 105, Fairbanks, AK 99709-5315 | 2006-04-26 |
| 1285272260 | Anesthesia Consultants of Fairbanks LLC | Anesthesiology | 2310 Peger Rd, Fairbanks, AK 99709-5305 | 2019-12-20 |
| 1831642834 | Christopher Dean Burns | Nurse Anesthetist, Certified Registered | 2310 Peger Rd, Fairbanks, AK 99709-5305 | 2016-07-26 |
| 1467809699 | Angela Britt | Physician Assistant | 2310 Peger Rd, Fairbanks, AK 99709 | 2016-05-18 |
| 1306252036 | Kelsi Johnson | Physical Therapist | 2310 Peger Rd, Suite 101, Fairbanks, AK 99709-5315 | 2014-07-02 |
| 1952654139 | Spine Care Specialists of Alaska LLC | Neurological Surgery | 2310 Peger Rd, Ste 106, Fairbanks, AK 99709-5305 | 2012-10-24 |
| 1740571595 | Jason Douglas Gillam | Physical Therapist | 2310 Peger Rd, Suite 101, Fairbanks, AK 99709-5315 | 2011-04-28 |
| 1871758771 | Cassandra Cathleen Brice | Physical Therapist | 2310 Peger Rd, Suite 101, Fairbanks, AK 99709-5305 | 2008-07-21 |
| 1275574493 | Paul L Jensen | Neurological Surgery | 2310 Peger Rd, Ste 106, Fairbanks, AK 99709-5305 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
| 1235629544 | Fairbanks Healing Space | Health Educator | 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 | 2018-05-11 |
| 1609395409 | Shawn K Goggins | Counselor | 1423 Peger Road, Fairbanks, AK 99709 | 2017-09-12 |
| 1710433347 | Jay Titus | Technician/Technologist | 2884 Marina Drive, Fairbanks, AK 99709 | 2016-09-01 |
| 1710391610 | Hannah Summerfelt | Dentist | 3539 Thomas St, Fairbanks, AK 99709 | 2014-06-18 |
| 1629407325 | Diane Louise Mitchell | Nurse Practitioner | 4650 Harvard Cir, Fairbanks, AK 99709 | 2013-11-04 |
| 1407147929 | Christina Martz | Counselor | 1270 Summet Drive, Fairbanks, AK 99709 | 2011-05-02 |
| 1255652285 | Surgery Center of Fairbanks LLC | Clinic/Center | 2310 Peger Road, Fairbanks, AK 99709 | 2010-06-14 |
| 1962661835 | John Leo Hughes Jr Jr. | Dentist | 3437 Airport Way, Suite 205, Fairbanks, AL 99709 | 2008-06-05 |
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| Find all providers in zip 99709 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336348937 | Aurora Diagnostic Imaging LLC | Radiology | 3419 Airport Way Ste D, Fairbanks, AK 99709-4761 | 2007-07-13 |
| 1245456557 | Fairbanks Community Imaging, LLC | Radiology | 1314 22nd Ave., Fairbanks, AK 99701 | 2007-04-17 |
| 1326153701 | Jeffrey Alan Zuckerman | Radiology | 449 Taurus Road, Fairbanks, AK 99712-1319 | 2006-08-19 |
| 1760637847 | James Scott Fuzzard | Radiology | 1001 Noble St, Fairbanks, AK 99701-4922 | 2008-11-17 |
| 1568637221 | Joel Marquess | Radiology | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2008-04-24 |
| 1306010962 | David L Evans | Radiology | 1650 Cowles St, Fairbanks, AK 99701-5999 | 2008-04-15 |
| 1366641060 | Jessica Ellen Panko | Radiology | 1650 Cowles St, Fairbanks, AK 99701-5999 | 2007-07-12 |
| 1396966040 | Jedidiah Jonah Malan | Radiology | 815 2nd Ave, Suite 202, Fairbanks, AK 99701-4400 | 2007-05-01 |
| 1164537544 | Claire Margaret Waite | Radiology | 1650 Cowles St, Fairbanks, AK 99701-5925 | 2006-08-19 |
| 1700991163 | Keir Andrew Bexar Fowler | Radiology | 1650 Cowles St, Fairbanks, AK 99701 | 2006-08-19 |
| Find all providers in FAIRBANKS | ||||
Please comment or provide details below to improve the information on FAIRBANKS MEDICAL IMAGING LLC.
| 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.