DAVID R MACK (NPI# 1811041056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811041056 |
| Entity Type | Individual |
| Full Name | DAVID R MACK |
| Credential | MD |
| Practice Address |
505 W Northern Lights Blvd Anchorage AK 99503-2552 |
| Practice Telephone | 9073028205 |
| Mailing Telephone | 9073028205 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2017-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MEDS 7369 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | RAILROAD MEDICARE | P00230275 | 01 |
| NC | 13580 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487927547 | David B Mack | Speech-Language Pathologist | 15055 W 87th St Parkway, Lenexa, KS 66215 | 2012-02-20 |
| 1457480741 | David P Mack | Dentist | 27855 Plymouth Rd, Livonia, MI 48150-2322 | 2007-03-05 |
| 1346316700 | David Charles Mack | Social Worker | 7214 E Camino Vecino, Tucson, AZ 85715-3416 | 2006-11-28 |
| 1205944923 | David Ray Mack | Dentist | 11536 S 31st St, Bellevue, NE 68123-5529 | 2006-08-25 |
| 1679555908 | David A Mack | Obstetrics & Gynecology | 1810 East 19th St, Suite 209, The Dalles, OR 97058 | 2005-11-14 |
| 1952865354 | David Mack | Case Manager/Care Coordinator | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2019-01-30 |
| 1023512340 | David Wentworth Mack | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2018-03-21 |
| 1497271621 | David Mack | Licensed Vocational Nurse | 1045 9th Ave, San Diego, CA 92101-5504 | 2017-08-18 |
| 1588059984 | David Mack | Emergency Medicine | 100 N Academy Ave, Danville, PA 17822-9800 | 2015-04-02 |
| 1396966818 | David A. Mack | Internal Medicine | 4th Hospital Dr, Charlottesville, VA 22908-0001 | 2007-05-01 |
| Street Address |
505 W NORTHERN LIGHTS BLVD |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99503-2552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881165116 | Northern Lights Chiropractic, LLC | Chiropractor | 505 W Northern Lights Blvd, Anchorage, AK 99503-2552 | 2018-12-16 |
| 1043579279 | Susan Sook Cho | Case Manager/Care Coordinator | 505 W Northern Lights Blvd, #108, Anchorage, AK 99503-2552 | 2012-05-08 |
| 1922367416 | Rene Allan Francisco | Case Manager/Care Coordinator | 505 W Northern Lights Blvd, #108, Anchorage, AK 99503-2552 | 2012-05-03 |
| 1023382694 | Wesley Moore | Chiropractor | 505 W Northern Lights Blvd, Anchorage, AK 99503-2552 | 2012-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020772 | Miladis Mcduffie | Massage Therapist | 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 | 2020-10-15 |
| 1447804984 | Bethany Lynn Becker | Optometrist | 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 | 2019-08-01 |
| 1265084933 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2920 Seward Hwy, Anchorage, AK 99503 | 2019-07-12 |
| 1982268942 | Rukiyia Smith | Behavior Technician | 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-25 |
| 1245894310 | Mary Kathleen Tate | Specialist/Technologist | 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-24 |
| 1194295766 | Kimberly Sue Trent | Registered Nurse | 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 | 2018-11-27 |
| 1659869089 | Alaska Spine & Pain Center, LLC | Chiropractor | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 | 2018-05-01 |
| 1235643123 | Rosanne Louise Klouda | Massage Therapist | 213 Fireweed Ln, Anchorage, AK 99503 | 2017-11-30 |
| 1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
| 1548773849 | Leslie K Michalski | Massage Therapist | 510 W Tudor Rd Ste 9, Anchorage, AK 99503 | 2017-11-08 |
| Find all providers in zip 99503 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942781562 | Anchorage Psychiatry | Psychiatry & Neurology | 1120 Huffman Rd Ste 24, Anchorage, AK 99515-3516 | 2018-08-22 |
| 1821453937 | Dr, Deborah Guris LLC | Psychiatry & Neurology | 15630 Stanwood Cir, Anchorage, AK 99516-4866 | 2015-12-17 |
| 1225378664 | Shirley Ann Saucerman | Psychiatry & Neurology | 336 W 10th Ave, Anchorage, AK 99501-3501 | 2013-02-21 |
| 1336408335 | Melinda M Hansen | Psychiatry & Neurology | 4501 Diplomacy Drive, Southcentral Foundation, Anchorage, AK 99508-0000 | 2012-05-10 |
| 1548420920 | Willow, LLC | Psychiatry & Neurology | 920 E 72nd Ave, Anchorage, AK 99518-2810 | 2008-06-10 |
| 1992987655 | Jonathan Benaknin | Psychiatry & Neurology | Anchorage Native Primary Care Center, 4320 Diplomacy Drive, Anchorage, AK 99508 | 2007-12-04 |
| 1548452519 | Clare Louise Maxwell | Psychiatry & Neurology | 1231 Gambell St Ste 300, Anchorage, AK 99501 | 2007-08-14 |
| 1447441944 | Jay Hugh Ehly | Psychiatry & Neurology | 200 W 34th Ave, Pmb 1204, Anchorage, AK 99503-3969 | 2007-08-08 |
| 1609070374 | Sarah Tighe Mccutcheon | Psychiatry & Neurology | Greatland Clinical Associates, 1400 W Benson Blvd Ste 315, Anchorage, AK 99503 | 2007-06-14 |
| 1881727923 | Wandal William Winn | Psychiatry & Neurology | 4300 B St Ste 202, Anchorage, AK 99503-5951 | 2007-03-14 |
| Find all providers in ANCHORAGE | ||||
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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.