FAIRBANKS FOOT & ANKLE INC. (NPI# 1659687945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659687945 |
| Entity Type | Organization |
| Organization Name | FAIRBANKS FOOT & ANKLE INC. |
| Practice Address |
1405 Kellum St. Ste 200 Fairbanks AK 99701 |
| Practice Telephone | 9074519202 |
| Practice Fax Number | 9074526256 |
| Mailing Telephone | 9074519202 |
| Mailing Fax Number | 9074526256 |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |
| Authorized Official Name | DR. RALPH SYLVAN DIXON (OWNER/PRESIDENT) |
| Authorized Official Telephone | 9074519202 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2810 | AK | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 2810 | AK | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | PD2810 | 05 |
| Street Address |
1405 KELLUM ST. STE 200 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701 |
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023083870 | Manx Quayle | Podiatrist | 1626 30th Ave Ste 202, Suite 202, Fairbanks, AK 99701-7423 | 2006-02-22 |
| 1033441423 | Aurora Foot & Ankle Surgical Specialists, LLC | Podiatrist | 1626 30th Ave Ste 202, Fairbanks, AK 99701 | 2010-02-09 |
| 1558498402 | Ralph Sylvan Dixon | Podiatrist | 1405 Kellum St, Suite 200, Fairbanks, AK 99701-4189 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265562623 | Traveling Foot Doctor, P.C. | Podiatrist | 22434 Eagle Glacier Loop, P.o. B. 772394-2394, Eagle River, AK 99577-9531 | 2007-03-06 |
| 1699862391 | Southeast Foot & Ankle Center Inc | Podiatrist | 7691 Glacier Hwy, Juneau, AK 99801 | 2006-10-06 |
| 1710976535 | David R Randall | Podiatrist | 4100 Lake Otis Pky Ste 312, Anchorage, AK 99508-5231 | 2005-10-14 |
| 1700011897 | Alaska Native Tribal Health Consortium | Podiatrist | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2009-05-19 |
| 1639367600 | Anh T Lam | Podiatrist | 7691 Glacier Hwy, Juneau, AK 99801-7912 | 2007-10-04 |
| 1407986979 | Brian Kip Coyne | Podiatrist | 11951 E Palmer Wasilla Hwy, Palmer, AK 99645 | 2007-03-06 |
| 1982740668 | Mark C Rindlisbacher | Podiatrist | 800 E Dimond Blvd, Suite 3-417, Anchorage, AK 99515-2061 | 2007-01-29 |
| 1982716387 | Bruce Alan Reddish | Podiatrist | 2925 Debarr Rd, Anchorage, AK 99508-2983 | 2006-08-31 |
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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.