DR. BENJAMIN GRANT EKSTROM (NPI# 1740556992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740556992 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN GRANT EKSTROM |
| Credential | M.D. |
| Practice Address |
2925 Debarr Road St 240 Anchorage AK 99508-2959 |
| Practice Telephone | 9073394650 |
| Practice Fax Number | 9073394694 |
| Mailing Telephone | 9073394650 |
| Mailing Fax Number | 9073394694 |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 128515 | AK | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
128515 | AK | Allopathic & Osteopathic Physicians |
| N | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
128515 | AK | Allopathic & Osteopathic Physicians |
| Street Address |
2925 DEBARR ROAD ST 240 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-2959 |
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508321639 | Giving Hope, LLC | Anesthesiology | 2000 Abbott Rd # A2, Anchorage, AK 99507-3878 | 2019-02-03 |
| 1790112506 | Hyun Sun Chung | Anesthesiology | 427 E Fireweed Ln, Anchorage, AK 99503-2111 | 2013-10-11 |
| 1922338854 | Alaska Spine & Pain Center, LLC | Anesthesiology | 500 E Benson Blvd Ste 103, Anchorage, AK 99503 | 2009-12-24 |
| 1538338132 | Interventional Pain Consultants of Alaska | Anesthesiology | 2751 Debarr Rd Ste B380, Anchorage, AK 99508-6811 | 2008-02-27 |
| 1548300205 | Nichelle Cook Renk | Anesthesiology | 2000 Abbott Rd Ste A2, Anchorage, AK 99507-3878 | 2007-02-08 |
| 1437170586 | Grant T Roderer | Anesthesiology | 1917 Abbott Rd, Suite 100, Anchorage, AK 99507 | 2006-07-22 |
| 1831145929 | Mahmood Ahmad | Anesthesiology | 4050 Lake Otis Pkwy, Suite 107, Anchorage, AK 99508-5223 | 2006-05-26 |
| 1265795983 | Urban Anesthesiology, P.c | Anesthesiology | 4001 Laurel St, Suite 202, Anchorage, AK 99508-5300 | 2012-06-18 |
| 1881848240 | Christopher Gay | Anesthesiology | 3851 Piper St, Suite U464, Anchorage, AK 99508-6905 | 2008-11-12 |
| 1194849307 | Premier Medical Group, LLC | Anesthesiology | 1200 Airport Heights Dr, Suite 245, Anchorage, AK 99508-2943 | 2007-03-16 |
| Find all providers in ANCHORAGE | ||||
Please comment or provide details below to improve the information on DR. BENJAMIN GRANT EKSTROM.
| 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.