SAMUEL A MCCONKEY III MD PC (NPI# 1578601340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578601340 |
| Entity Type | Organization |
| Organization Name | SAMUEL A MCCONKEY III MD PC |
| Practice Address |
1521 Stacia St Fairbanks AK 99701-6135 |
| Mailing Address |
315 Illinois St Fairbanks AK 99701-2910 |
| Practice Telephone | 9074564822 |
| Mailing Telephone | 9074567767 |
| Mailing Fax Number | 9074568050 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2010-12-09 |
| Authorized Official Name | SAMUEL A MCCONKEY (OWNER) |
| Authorized Official Telephone | 9074567767 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 849 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD0849 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134315757 | Samuel A Mcconkey IIi Md PC | Ophthalmology | 5830 W Thunderbird Rd, Suite B5, Glendale, AZ 85306-4654 | 2007-09-18 |
| Street Address |
1521 STACIA ST |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-6135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093874182 | Augusta Ann Plassmann King | Optometrist | 1521 Stacia St, Unit B, Fairbanks, AK 99701-6135 | 2006-12-06 |
| 1942630629 | Augusta Plassmann King, O.d., LLC | Optometrist | 1521 Stacia St, Golden North Optics, Fairbanks, AK 99701 | 2013-11-18 |
| 1871886176 | Maygren Family Eye Care | Optometrist | 1521 Stacia St, Fairbanks, AK 99701-6135 | 2011-05-18 |
| 1104154079 | Golden North Optics, Inc | Technician/Technologist | 1521 Stacia St, Fairbanks, AK 99701-6135 | 2009-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| 1336145788 | Alfred David Deramus | Ophthalmology | 4001 Geist Rd, Ste 9, Fairbanks, AK 99709-3569 | 2005-06-21 |
| 1396034658 | Stanley R Fuller | Ophthalmology | 116 Minnie St, Fairbanks, AK 99701-3006 | 2011-04-06 |
| 1730417619 | Alfred D Deramus Md A Professional Corporation | Ophthalmology | 4001 Geist Rd, Suite 9, Fairbanks, AK 99709-3552 | 2009-12-03 |
| 1891999272 | Katherine Elizabeth Johnson | Ophthalmology | 2555 Phillips Field Rd, Fairbanks, AK 99709-3933 | 2007-06-12 |
| 1831177187 | Ronald W Zamber | Ophthalmology | 116 Minnie St, Fairbanks, AK 99701-3006 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851721146 | Alaska Childrens Eye and Strabismus LLC | Ophthalmology | 3500 Latouche Street, Suite 280, Anchorage, AK 99508 | 2013-11-22 |
| 1245678978 | Elaine Rose Mcelhinny | Ophthalmology | 3801 University Lake Dr Fl 2, Anchorage, AK 99508 | 2013-06-04 |
| 1689916470 | John Logan Bennion | Ophthalmology | 5955 Zeamer Ave # Dod-va, Jber, AK 99506-3702 | 2013-03-20 |
| 1629209143 | Olympia Eye Clinic, Inc., P.s. | Ophthalmology | 2841 Debarr Rd Bldg A, Suite 32, Anchorage, AK 99508-2958 | 2009-07-31 |
| 1811005606 | Jan H Nyboer | Ophthalmology | 9350 Independence Dr, Anchorage, AK 99507 | 2006-08-29 |
| 1871606681 | Eric W Coulter | Ophthalmology | 235 E 8th Ave Ste 3a, Anchorage, AK 99501-3662 | 2006-08-16 |
| 1891701736 | Garret Lamendola Sitenga | Ophthalmology | 4381 E Hill Rd, Homer, AK 99603-8203 | 2006-07-31 |
| 1821045188 | Robert A Breffeilh | Ophthalmology | 3268 Hospital Dr Ste A, Ste A, Juneau, AK 99801 | 2006-05-30 |
| 1932151149 | Gordon R Preecs | Ophthalmology | 3268 Hospital Dr, Ste A, Juneau, AK 99801-7808 | 2006-05-16 |
| 1184684177 | David Zumbro | Ophthalmology | 3500 Latouche St, Suite 250, Anchorage, AK 99508-4260 | 2006-03-24 |
| Find all providers with the same taxonomy | ||||
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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.