TAE DUK OK (NPI# 1538361522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538361522 |
| Entity Type | Individual |
| Full Name | TAE DUK OK |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
800 Cordova St Anchorage AK 99501-3717 |
| Mailing Address |
Po Box 283 Saint Paul Island AK 99660-0283 |
| Practice Telephone | 9072227612 |
| Mailing Telephone | 9075468300 |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 541 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
800 CORDOVA ST |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99501-3717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811045552 | Craig S Sink | Physician Assistant | 800 Cordova St, Anchorage, AK 99501-3717 | 2007-01-08 |
| 1073050373 | Brianna Clendenin | Nurse Practitioner | 800 Cordova St, Anchorage, AK 99501-3717 | 2017-01-24 |
| 1518246818 | David Blemings | Nurse Practitioner | 800 Cordova St, Anchorage, AK 99501-3717 | 2011-08-04 |
| 1255563094 | Kevin L Luppen | Physician Assistant | 800 Cordova St, Anchorage, AK 99501-3717 | 2009-08-12 |
| 1447418967 | Beacon Occupational Health & Safety Services, Inc. | Clinic/Center | 800 Cordova St, Anchorage, AK 99501-3717 | 2008-05-30 |
| 1235342759 | Jeffrey Linn Brooke | Physician Assistant | 800 Cordova St, Anchorage, AK 99501-3717 | 2007-05-08 |
| 1952432569 | Robert Trotter | Physician Assistant | 800 Cordova St, Anchorage, AK 99501-3717 | 2007-03-07 |
| 1962531384 | James Russell Marlow | Physician Assistant | 800 Cordova St, Anchorage, AK 99501-3717 | 2007-03-02 |
| 1831227883 | Thomas Brett Cross | Physician Assistant | 800 Cordova St, Anchorage, AK 99501-3717 | 2007-03-01 |
| 1528196573 | Edward Anthony Hall | Physician Assistant | 800 Cordova St, Anchorage, AK 99501-3717 | 2007-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093304 | Ryan Garcia | Military Health Care Provider | 673d Med Group, Jber, AK 99501 | 2020-11-02 |
| 1033755798 | The Salvation Army, A California Corporation | Community/Behavioral Health | 1700 A Street, Anchorage, AK 99501 | 2019-11-18 |
| 1740841170 | Christina Lynne Arent Cook | Registered Nurse | 8000 West End Rd, Anchorage, AK 99501 | 2019-06-26 |
| 1033770672 | Kathy Eileen Mailelle | Behavior Technician | 8000 West End Road, Anchorage, AK 99501 | 2019-06-25 |
| 1306312574 | Patricia Estella Gould | Marriage & Family Therapist | 731 N St, Anchorage, AK 99501 | 2018-10-15 |
| 1497235642 | Beth Alta Fletcher | Specialist | 737 W 5th Ave Ste 202, Anchorage, AK 99501 | 2018-08-17 |
| 1699289645 | Jae Won Lee | Dentist | 726 E. 9th Avenue, Anchorage, AK 99501 | 2017-11-29 |
| 1649797796 | Seong Guy Hyung | Dentist | 726 E 9th Avenue, Anchorage, AK 99501 | 2017-08-29 |
| 1871952705 | Warren Anderson | Massage Therapist | 737 West 5th Avenue Suite 202, Anchorage, AK 99501 | 2016-02-20 |
| 1780072603 | Epoch - Alaska Limited Liability Company | General Practice | 3074 Mt. View Drive, Suite 193, Anchorage, AK 99501 | 2014-12-30 |
| Find all providers in zip 99501 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912426040 | Ashley Boge | Physician Assistant | 2925 Debarr Rd Ste D350, Anchorage, AK 99508-2959 | 2017-09-09 |
| 1215455597 | Leigha Henry-waugh | Physician Assistant | 3724 Lincoln Ellsworth Ct Unit B, Anchorage, AK 99517-2354 | 2017-09-06 |
| 1003264052 | Kimberley Aikey | Physician Assistant | 1400 E 4th Ave, Anchorage, AK 99501-2857 | 2016-06-01 |
| 1457709008 | Betsy Louise Douds-paczan | Physician Assistant | 4701 Kenai Avenue, Anchorage, AK 99508 | 2016-05-24 |
| 1689021693 | Stephanie Marie Guzman | Physician Assistant | 4320 Diplomacy Dr Ste 2191, Anchorage, AK 99508-5925 | 2016-05-19 |
| 1972977866 | Alaska Medical Services Inc. | Physician Assistant | 2240 Paxson Dr Unit 1, Anchorage, AK 99504-3412 | 2015-11-16 |
| 1245610955 | Aaron M Thrasher | Physician Assistant | 4100 Lake Otis Parkway Suite 200, Anchorage, AK 99508 | 2015-06-08 |
| 1861891285 | Shawna J Mcelroy | Physician Assistant | 1389 Huffman Road, #150, Anchorage, AK 99515 | 2014-08-21 |
| 1891030789 | Katharine J Linduska | Physician Assistant | 4320 Diplomacy Dr Ste 2121, Anchorage, AK 99508-5925 | 2012-12-03 |
| 1659623031 | Alana Mandalapa | Physician Assistant | 1310 E Dimond Blvd Ste 1, Anchorage, AK 99515-2031 | 2012-10-09 |
| Find all providers in ANCHORAGE | ||||
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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.