MR. ADAM COVINO ELLISON (NPI# 1730394669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730394669 |
| Entity Type | Individual |
| Full Name | MR. ADAM COVINO ELLISON |
| Credential | M.D. |
| Practice Address |
1700 E Bogard Rd Ste 102 Wasilla AK 99654-6563 |
| Mailing Address |
3801 Lake Otis Pkwy Ste 300 Anchorage AK 99508-5234 |
| Practice Telephone | 9073572267 |
| Practice Fax Number | 9075633460 |
| Mailing Telephone | 9075622277 |
| Mailing Fax Number | 9075633460 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2018-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MEDS8334 | AK | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | D0071677 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1628093 | 05 |
| Street Address |
1700 E BOGARD RD STE 102 |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-6563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194119313 | Adrian Kristin Giani | Physician Assistant | 1700 E Bogard Rd Ste 102, Wasilla, AK 99654-6563 | 2015-03-25 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265834782 | Surgical Specialists of Alaska LLC | Orthopaedic Surgery | 1690 W Pipestone Dr, Wasilla, AK 99654-9741 | 2014-09-17 |
| 1740206101 | Valley Orthopedic Surgery PC Dr Charles J Kase Md PC | Orthopaedic Surgery | 6231 E Mountain Goat Cir, Wasilla, AK 99654-9334 | 2006-07-15 |
| 1255375150 | Richard Raymond Strohmeyer | Orthopaedic Surgery | 6500 Verboncoeur Drive, Wasilla, AK 99654 | 2006-06-15 |
| 1457535650 | Charles J Kase | Orthopaedic Surgery | 6231 E Mountain Goat Cir, Wasilla, AK 99654-9334 | 2007-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174051718 | Scott Innes Md PC | Orthopaedic Surgery | 240 Hospital Pl Ste 204, Soldotna, AK 99669-7559 | 2017-05-26 |
| 1093057895 | Rabun Samuel Fox | Orthopaedic Surgery | 3831 Piper St Ste 220, Anchorage, AK 99508-4680 | 2013-03-20 |
| 1194987511 | Kevin Charles Paisley | Orthopaedic Surgery | 4015 Lake Otis Pkwy Ste 201, Anchorage, AK 99508-5235 | 2008-06-26 |
| 1447426424 | Andrew Lewis Cornelius | Orthopaedic Surgery | 673d Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | 2008-04-30 |
| 1568506657 | Marius Henry Panzarella | Orthopaedic Surgery | 1612 Mission Rd, Kodiak, AK 99615-6508 | 2007-02-20 |
| 1629132022 | John T Duddy | Orthopaedic Surgery | 2741 Debarr Rd Ste C305, Anchorage, AK 99508-2972 | 2006-12-20 |
| 1033278155 | Russell Degroote Md PC | Orthopaedic Surgery | 1621 Tongass Ave Ste 207, Ketchikan, AK 99901-6072 | 2006-12-06 |
| 1144392721 | Douglas Grant Smith | Orthopaedic Surgery | 4733 Pavalof St, Anchorage, AK 99507-1018 | 2006-11-15 |
| 1306931894 | Ted L Schwarting | Orthopaedic Surgery | 3220 Hospital Drive, Suite 201, Juneau, AK 99801 | 2006-10-03 |
| 1477646933 | David Meyer | Orthopaedic Surgery | 1060 Gaffney Rd, #7440, Commander, Usa-meddac-ak, Attn:mcuc-mmd-qm, Ft. Wainwright, AK 99703 | 2006-10-02 |
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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.