ADONAI DIABETES AND ENDOCRINOLOGY CENTER (NPI# 1669643896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669643896 |
| Entity Type | Organization |
| Organization Name | ADONAI DIABETES AND ENDOCRINOLOGY CENTER |
| Practice Address |
3331 E Meridian Park Loop Wasilla AK 99654-7299 |
| Practice Telephone | 9073578006 |
| Mailing Telephone | 9073578006 |
| Enumeration Date | 2008-03-15 |
| Last Update Date | 2010-11-16 |
| Authorized Official Name | SAMUEL ABBATE (PHYSICIAN) |
| Authorized Official Telephone | 9073572332 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
4646 | AK | Allopathic & Osteopathic Physicians |
| Street Address |
3331 E MERIDIAN PARK LOOP |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316953409 | Samuel Lee Abbate | Internal Medicine | 3331 E Meridian Park Loop, Wasilla, AK 99654-7299 | 2006-07-31 |
| 1922498781 | Matthew Loudon | Physician Assistant | 3331 E Meridian Park Loop, Wasilla, AK 99654-7294 | 2015-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316953409 | Samuel Lee Abbate | Internal Medicine | 3331 E Meridian Park Loop, Wasilla, AK 99654-7299 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962580480 | Jerry Ross Tanner II | Internal Medicine | 2841 Debarr Rd Ste 43, Anchorage, AK 99508-2967 | 2006-11-01 |
| 1184606014 | Janice Ann Koval | Internal Medicine | 2841 Debarr Rd Ste 50, Anchorage, AK 99508-2945 | 2005-11-16 |
| 1114441227 | Jeffrey D Medland, LLC | Internal Medicine | 3260 Providence Dr Ste 523, Anchorage, AK 99508-4608 | 2017-07-31 |
| 1659521888 | J. Ross Tanner, D.o. LLC | Internal Medicine | 2841 Debarr Rd, Suite 43, Anchorage, AK 99508-2932 | 2008-09-24 |
| 1306022314 | Konrad C Kaltenborn Md | Internal Medicine | 4100 Lake Otis Pkwy, Ste 305, Anchorage, AK 99508-5229 | 2008-01-21 |
| 1780733105 | Jeffrey Dale Medland | Internal Medicine | 2841 Debarr Rd, Suite 43, Anchorage, AK 99508-2958 | 2007-01-09 |
| 1821056284 | John J Regan Jr. | Internal Medicine | 2925 Debarr Rd, Anchorage, AK 99508-2983 | 2006-05-03 |
| 1710943196 | Jeanne R Bonar | Internal Medicine | 3260 Providence Dr, #523, Anchorage, AK 99508-4608 | 2006-04-25 |
| 1457316051 | Muhammad K Ahmed | Internal Medicine | 1001 Noble St, Fairbanks, AK 99701-4948 | 2006-04-18 |
| 1972589299 | Konrad C Kaltenborn | Internal Medicine | 3260 Providence Dr, #523, Anchorage, AK 99508-4608 | 2005-12-19 |
| 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.