ALFRED D DERAMUS MD A PROFESSIONAL CORPORATION (NPI# 1730417619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730417619 |
| Entity Type | Organization |
| Organization Name | ALFRED D DERAMUS MD A PROFESSIONAL CORPORATION |
| Practice Address |
4001 Geist Rd Suite 9 Fairbanks AK 99709-3552 |
| Practice Telephone | 9074790852 |
| Practice Fax Number | 9074790859 |
| Mailing Telephone | 9074790852 |
| Mailing Fax Number | 9074790859 |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2009-12-03 |
| Authorized Official Name | VANESSA KORSGREN (OFFICE MANAGER) |
| Authorized Official Telephone | 9074790852 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD1850 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD1850 | 05 |
| Street Address |
4001 GEIST RD SUITE 9 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99709-3552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336145788 | Alfred David Deramus | Ophthalmology | 4001 Geist Rd, Ste 9, Fairbanks, AK 99709-3569 | 2005-06-21 |
| 1013528090 | Spruce Roots Family Dentistry, LLC | Dentist | 4001 Geist Rd, Ste 5, Fairbanks, AK 99709-3569 | 2020-08-12 |
| 1205373032 | Daniel Costello | Chiropractor | 4001 Geist Rd, Suite 12, Fairbanks, AK 99709-3569 | 2017-01-31 |
| 1487103982 | Better World Development | Clinic/Center | 4001 Geist Rd, Suite 12, Fairbanks, AK 99709-3569 | 2016-09-25 |
| 1144508128 | Heather A Willis Dds LLC | Dentist | 4001 Geist Rd, Ste 5b, Fairbanks, AK 99709-3552 | 2011-07-25 |
| 1306090766 | Lindsay Marie Costello | Physical Therapist | 4001 Geist Rd, Ste 12, Fairbanks, AK 99709-3569 | 2008-11-12 |
| 1730354135 | James A. Cerney,dds,pc | Dentist | 4001 Geist Rd, Suite 5b, Fairbanks, AK 99709-3552 | 2008-04-25 |
| 1972787281 | Andrea Forte | Technician/Technologist | 4001 Geist Rd, Suite 9, Fairbanks, AK 99709-3552 | 2007-12-21 |
| 1942350335 | Roger Dean Thurmond | Specialist | 4001 Geist Rd, Suite 8, Fairbanks, AK 99709-3552 | 2007-01-10 |
| 1962426700 | James A Cerney | Dentist | 4001 Geist Rd, Suite 5b, Fairbanks, AK 99709-3552 | 2006-07-26 |
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| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| 1336145788 | Alfred David Deramus | Ophthalmology | 4001 Geist Rd, Ste 9, Fairbanks, AK 99709-3569 | 2005-06-21 |
| 1396034658 | Stanley R Fuller | Ophthalmology | 116 Minnie St, Fairbanks, AK 99701-3006 | 2011-04-06 |
| 1891999272 | Katherine Elizabeth Johnson | Ophthalmology | 2555 Phillips Field Rd, Fairbanks, AK 99709-3933 | 2007-06-12 |
| 1578601340 | Samuel A Mcconkey IIi Md PC | Ophthalmology | 1521 Stacia St, Fairbanks, AK 99701-6135 | 2007-02-02 |
| 1831177187 | Ronald W Zamber | Ophthalmology | 116 Minnie St, Fairbanks, AK 99701-3006 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851721146 | Alaska Childrens Eye and Strabismus LLC | Ophthalmology | 3500 Latouche Street, Suite 280, Anchorage, AK 99508 | 2013-11-22 |
| 1245678978 | Elaine Rose Mcelhinny | Ophthalmology | 3801 University Lake Dr Fl 2, Anchorage, AK 99508 | 2013-06-04 |
| 1689916470 | John Logan Bennion | Ophthalmology | 5955 Zeamer Ave # Dod-va, Jber, AK 99506-3702 | 2013-03-20 |
| 1629209143 | Olympia Eye Clinic, Inc., P.s. | Ophthalmology | 2841 Debarr Rd Bldg A, Suite 32, Anchorage, AK 99508-2958 | 2009-07-31 |
| 1811005606 | Jan H Nyboer | Ophthalmology | 9350 Independence Dr, Anchorage, AK 99507 | 2006-08-29 |
| 1871606681 | Eric W Coulter | Ophthalmology | 235 E 8th Ave Ste 3a, Anchorage, AK 99501-3662 | 2006-08-16 |
| 1891701736 | Garret Lamendola Sitenga | Ophthalmology | 4381 E Hill Rd, Homer, AK 99603-8203 | 2006-07-31 |
| 1821045188 | Robert A Breffeilh | Ophthalmology | 3268 Hospital Dr Ste A, Ste A, Juneau, AK 99801 | 2006-05-30 |
| 1932151149 | Gordon R Preecs | Ophthalmology | 3268 Hospital Dr, Ste A, Juneau, AK 99801-7808 | 2006-05-16 |
| 1184684177 | David Zumbro | Ophthalmology | 3500 Latouche St, Suite 250, Anchorage, AK 99508-4260 | 2006-03-24 |
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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.