MOLLY BOOY (NPI# 1811429640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811429640 |
| Entity Type | Individual |
| Full Name | MOLLY BOOY |
| Practice Address |
1000 Greg Kruschek Avenue Nome AK 99762-9976 |
| Mailing Address |
1422 Chestnut St Apt 1 Fort Wainwright AK 99703-1390 |
| Practice Telephone | 9074433333 |
| Mailing Telephone | 5624833267 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 19985 | HI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Army Medical Center, HI 968595001 | 8084333313 |
| Street Address |
1000 GREG KRUSCHEK AVENUE |
| City | NOME |
| State | AK |
| Zip Code | 99762-9976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730344300 | Nikki Gayle Nash | Technician | 1000 Greg Kruschek Avenue, Nome, AK 99762 | 2008-07-23 |
| 1083226435 | Lauren Edith Rosene | Dentist | 1000 Greg Kruschek Avenue, Nome, AK 99762 | 2020-08-18 |
| 1447860242 | Jeremy Robert Sperrazza | Pharmacist | 1000 Greg Kruschek Avenue, Nome, AK 99762 | 2020-08-06 |
| 1538789011 | Lori Alison Mueller | Case Manager/Care Coordinator | 1000 Greg Kruschek Avenue, Nome, AK 99762 | 2020-04-24 |
| 1306466008 | Kathryn Marian Osborn | Technician | 1000 Greg Kruschek Avenue, Nome, AK 99762 | 2020-04-22 |
| 1710537287 | Kofi Atta-boateng | Pharmacist | 1000 Greg Kruschek Avenue, Nome, AK 99762 | 2019-09-17 |
| 1487207577 | Elizabeth Keeley Bowman | Nurse Practitioner | 1000 Greg Kruschek Avenue, Nome, AK 99762 | 2019-07-18 |
| 1821585845 | Timothy James Mcgarry | Nurse Practitioner | 1000 Greg Kruschek Avenue, Nome, AK 99762 | 2018-04-16 |
| 1790208031 | Megan Marie Myers | Pharmacist | 1000 Greg Kruschek Avenue, Nome, AK 99762 | 2017-07-19 |
| 1073069688 | Kyle Vaughn | Pharmacist | 1000 Greg Kruschek Avenue, Nome, AK 99762 | 2016-09-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030773 | Aura Chasteen | Counselor | 907 Division Street, Nome, AK 99762 | 2020-07-09 |
| 1043858210 | Nome Public Schools | Point of Service | 2920 3.5 Nome-teller Hwy, Nome, AK 99762 | 2019-12-18 |
| 1194217638 | Kathryn Davis Mctigue | Dentist | Nome Bypass Rd, Nome, AK 99762 | 2018-05-31 |
| 1891296489 | Yonaton Sahar Davidson | Counselor | Nome Community Center, Nome, AK 99762 | 2018-02-28 |
| 1588186605 | Jennifer R Dean-johnson | Case Manager/Care Coordinator | 1000 Greg Kruschev, Nome, AK 99762 | 2017-07-11 |
| 1457717340 | Kristy Kunayak | Community Health Worker | Front Street 7059, Little Diomede, AK 99762 | 2016-01-07 |
| 1265828743 | Diane Paniptchuk | Community Health Worker | 1000 Kruschak Ave, Nome, AK 99762 | 2015-04-10 |
| 1710384185 | Helen M Eningowuk | Community Health Worker | 1000 Greg Kruscheck Ave, Nome, AK 99762 | 2014-12-01 |
| 1194122671 | Crystal Lynn Fagerstrom | Community Health Worker | 39 Punguk Street, Golovin, AK 99762 | 2014-11-26 |
| 1699187161 | Cynthia Barrand | Counselor | 1000 Greg Kruscheck, Nome, AK 99762 | 2014-06-02 |
| Find all providers in zip 99762 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326275082 | Timothy W Miller | Family Medicine | 1000 Greg Kruschek Highway, Norton Sound Health Corp., Nome, AK 99762 | 2009-06-19 |
| 1649352618 | Robert T Lawrence | Family Medicine | 304 Bering Street, Nome, AK 99762-1573 | 2006-10-19 |
| 1588636070 | Stephen Darrell Daniel | Family Medicine | 1000 Greg Kruschek Ave., Norton Sound Health Corporation, Nome, AK 99762-0966 | 2006-02-07 |
| 1598737397 | Sai-ling Liu | Family Medicine | 5th Avenue 306 West, Norton Sound Health Corporation, Nome, AK 99762-0966 | 2006-02-06 |
| 1689644288 | David Matthew Head | Family Medicine | 306 West 5th Ave, Nome, AK 99762-0966 | 2006-01-25 |
| 1225561194 | James Lavery | Family Medicine | 1000 Greg Kruscheck Ave, Nome, AK 99762 | 2017-04-07 |
| 1811345838 | Timothy Lemaire | Family Medicine | 1000 Greg Kruschek Ave, Nome, AK 99762 | 2016-05-31 |
| 1174957062 | Adam Jacob Colton | Family Medicine | General Delivery, Nome, AK 99762-9999 | 2013-08-27 |
| 1003935453 | Jerry M. Davenport | Family Medicine | 306 W 5th Ave, Norton Sound Health Cooperation, Nome, AK 99762 | 2007-03-28 |
| 1487626016 | Deborah Christine Flint Daniel | Family Medicine | 306 West 5th Avenue, Norton Sound Health Corporation, Nome, AK 99762-0966 | 2006-02-07 |
| Find all providers in NOME | ||||
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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.