ERIC F SEVERSON (NPI# 1790776599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790776599 |
Entity Type | Individual |
Full Name | ERIC F SEVERSON |
Credential | PA-C |
Practice Address |
3066 E Meridian Park Loop Ste 207 Wasilla AK 99654-7254 |
Mailing Address |
3066 E Meridian Park Loop Ste 3 Wasilla AK 99654-7254 |
Practice Telephone | 9073577710 |
Practice Fax Number | 9073577720 |
Mailing Telephone | 9073577710 |
Mailing Fax Number | 9073577720 |
Enumeration Date | 2005-10-31 |
Last Update Date | 2018-03-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
115763 | AK | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447575998 | Eric Allan Severson | Student in an Organized Health Care Education/Training Program | 75 Francis St, Boston, MA 02115-6110 | 2010-03-27 |
Street Address |
3066 E MERIDIAN PARK LOOP STE 207 |
City | WASILLA |
State | AK |
Zip Code | 99654-7254 |
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 | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609176783 | Algone Center | Pain Medicine | 3066 E Meridian Park Loop, #1, Wasilla, AK 99654-7299 | 2010-10-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417996307 | Tamara Ann Brothers Mcneil | Pain Medicine | 100 Trading Bay Rd Ste 8, Kenai, AK 99611-7786 | 2006-06-06 |
1487102208 | Neuroversion | Pain Medicine | 2925 Debarr Rd, Suite 240, Anchorage, AK 99508-2959 | 2016-09-21 |
1518300185 | Pain and Headache Center, LLC | Pain Medicine | 12836 Old Glenn Hwy Ste 2, Eagle River, AK 99577 | 2013-04-12 |
1407171069 | Northern Anesthesia and Pain Medicine, LLC | Pain Medicine | 10928 Eagle River Rd, Suite 240, Eagle River, AK 99577-8078 | 2010-04-06 |
Please comment or provide details below to improve the information on ERIC F SEVERSON.
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.