VAN E LAMORE (NPI# 1689625964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689625964 |
| Entity Type | Individual |
| Full Name | VAN E LAMORE |
| Credential | PA-C |
| Practice Address |
3745 Geist Rd Fairbanks AK 99709-3554 |
| Practice Telephone | 9074563338 |
| Practice Fax Number | 9074563443 |
| Mailing Telephone | 9074563338 |
| Mailing Fax Number | 9074563443 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2019-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
004580 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PADA631 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
10001088A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
004580 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3745 GEIST RD |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99709-3554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890011 | Shannen Mcnamara | Physician Assistant | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2020-08-03 |
| 1164082202 | Anders Harbord Carlson | Physical Therapist | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2019-06-20 |
| 1821516345 | Benjamin Douglas Johnson | Orthopaedic Surgery | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2017-09-05 |
| 1487172011 | Dayna M Daku | Physician Assistant | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2017-09-04 |
| 1407304017 | Mckinley Sports Medicine, LLC | Family Medicine | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2016-09-13 |
| 1295184703 | Samantha Paige Smith | Specialist/Technologist | 3745 Geist Rd, Fairbanks, AK 99709 | 2016-06-06 |
| 1295175651 | Neal Everson | Orthopaedic Surgery | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2013-07-01 |
| 1235448309 | Daniel R Johnson, D.o. | Orthopaedic Surgery | 3745 Geist Rd, Fairbanks, AK 99709-3548 | 2010-10-06 |
| 1144536061 | Ambria Marie Thomas | Physician Assistant | 3745 Geist Rd, Fairbanks, AK 99709-3548 | 2010-08-30 |
| 1801054879 | Jennifer A Holt | Physician Assistant | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2008-05-27 |
| Find all providers in the same location | ||||
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629240874 | Orthopaedic Triage of Fairbanks, Inc | Physician Assistant | 1919 Lathrop, Suite 209, Fairbanks, AK 99701 | 2008-03-27 |
| 1467809699 | Angela Britt | Physician Assistant | 2310 Peger Rd, Fairbanks, AK 99709 | 2016-05-18 |
| 1801054879 | Jennifer A Holt | Physician Assistant | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2008-05-27 |
| 1902990963 | Michael Thomas Weber | Physician Assistant | 1919 Lathrop St, Suite 209, Fairbanks, AK 99701 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003285222 | Christie Bentz | Physician Assistant | 3027 Mountainwood Cir, Juneau, AK 99801-9624 | 2015-09-17 |
| 1760872121 | Rachel Goldberger | Physician Assistant | 2741 Debarr Rd Ste C402, Anchorage, AK 99508-2980 | 2015-01-23 |
| 1730651514 | Peter Marbarger Jr. | Physician Assistant | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2018-12-18 |
| 1942783170 | Zachary Daniel Hartmann | Physician Assistant | 3831 Piper St Ste S220, Anchorage, AK 99508-4680 | 2018-09-13 |
| 1861907487 | Kaleigh Marie Bishop | Physician Assistant | 3831 Piper St Ste 220, Anchorage, AK 99508-4680 | 2017-12-05 |
| 1659810281 | Jennifer L Hermanson | Physician Assistant | 3831 Piper St, S-450, Anchorage, AK 99508-4680 | 2017-02-15 |
| 1679920565 | Leslie Tolliver II | Physician Assistant | 4100 Lake Otis Pkwy, Suite 206, Anchorage, AK 99508-5229 | 2016-05-20 |
| 1902271547 | Bennjamin L Kennah Pa-c | Physician Assistant | 2741 Debarr Rd Ste C214, Anchorage, AK 99508-2978 | 2015-12-08 |
| 1942674577 | Cami Zobel | Physician Assistant | 2751 Debarr Rd Ste B320, Anchorage, AK 99508-6805 | 2015-11-19 |
| 1780054445 | Christopher Albert | Physician Assistant | 4100 Lake Otis Pkwy Ste 302, Anchorage, AK 99508-5230 | 2015-10-06 |
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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.