ALASKA NATIVE TRIBAL HEALTH CONSORTIUM (NPI# 1700011897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700011897 |
| Entity Type | Organization |
| Organization Name | ALASKA NATIVE TRIBAL HEALTH CONSORTIUM |
| Practice Address |
4315 Diplomacy Dr Anchorage AK 99508-5926 |
| Practice Telephone | 9075632662 |
| Mailing Telephone | 9075632662 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |
| Authorized Official Name | DON KASHEVAROFF (CEO) |
| Authorized Official Telephone | 9077292876 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679931059 | Alaska Native Tribal Health Consortium | Pharmacy | 3900 Ambassador Dr Ste 311, Anchorage, AK 99508-5922 | 2016-02-01 |
| 1720460652 | Alaska Native Tribal Health Consortium | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 3801 University Lake Dr Ste 100, Anchorage, AK 99508-4658 | 2015-06-27 |
| 1972869071 | Alaska Native Tribal Health Consortium | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1w326, 4315 Diplomacy Drive, Anchorage, AK 99508 | 2012-04-03 |
| 1851601967 | Alaska Native Tribal Health Consortium | Dentist | 610 Akiachuk Dr., Suite 208, Anchorage, AK 99559 | 2010-10-08 |
| 1518417344 | Alaska Native Tribal Health Consortium | Transportation Broker | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2016-10-05 |
| 1457735003 | Alaska Native Tribal Health Consortium | Clinic/Center | 3449 Rezanof Dr E, Kodiak, AK 99615-6952 | 2015-07-14 |
| 1023290855 | Alaska Native Tribal Health Consortium | General Acute Care Hospital | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2007-12-04 |
| 1245439082 | Alaska Native Tribal Health Consortium | General Acute Care Hospital | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2007-07-12 |
| 1437368891 | Alaska Native Tribal Health Consortium | General Acute Care Hospital | 4315 Diplomacy Dr, Anchorage, AK 99508 | 2007-05-22 |
| 1093924458 | Alaska Native Tribal Health Consortium | General Acute Care Hospital | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2007-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Alaska Native Tribal Health Consortium | 3900 Ambassador Dr, Anchorage, AK 99508 |
| Street Address |
4315 DIPLOMACY DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972509669 | Steven James Denson | Chiropractor | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2005-06-27 |
| 1982202156 | Christina Eldridge | Pharmacist | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2020-10-11 |
| 1699393132 | Southcentral Foundation | Dentist | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2020-07-10 |
| 1699304725 | Meghan Ballard | Occupational Therapist | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2020-04-01 |
| 1922633650 | Laura Cantrell | Student in an Organized Health Care Education/Training Program | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2020-03-03 |
| 1609416064 | Matthew Wade | Nurse Anesthetist, Certified Registered | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2020-01-13 |
| 1407494677 | Michael Bruce | Preventive Medicine | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2019-12-18 |
| 1336787993 | Korin Scott | Occupational Therapist | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2019-12-13 |
| 1215578422 | Andrew James Baker | Registered Nurse | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2019-09-30 |
| 1861042749 | Anthony Martin | Physical Therapist | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2019-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| 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 |
|---|---|---|---|---|
| 1710976535 | David R Randall | Podiatrist | 4100 Lake Otis Pky Ste 312, Anchorage, AK 99508-5231 | 2005-10-14 |
| 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 |
| 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 |
| 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 |
| 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 |
| 1558498402 | Ralph Sylvan Dixon | Podiatrist | 1405 Kellum St, Suite 200, Fairbanks, AK 99701-4189 | 2007-02-27 |
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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.