DR. MATT A HEILALA (NPI# 1821135427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821135427 |
| Entity Type | Individual |
| Full Name | DR. MATT A HEILALA |
| Credential | DPM |
| Practice Address |
4100 Lake Otis Pkwy Ste 312 Anchorage AK 99508-5231 |
| Practice Telephone | 9075693668 |
| Practice Fax Number | 9075693669 |
| Mailing Telephone | 9075693668 |
| Mailing Fax Number | 9075693669 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
4087 | AK | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | PD5195 | 05 |
| Street Address |
4100 LAKE OTIS PKWY STE 312 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003459298 | Alaska Bleeding Disorder Clinics | Internal Medicine | 4100 Lake Otis Pkwy Ste 312, Anchorage, AK 99508-5231 | 2019-10-21 |
| 1982881421 | Shannon Rochelle Norman | Pediatrics | 4100 Lake Otis Pkwy Ste 312, Anchorage, AK 99508-5231 | 2008-01-28 |
| 1558546788 | Jeffrey Brent Roaten | Surgery | 4100 Lake Otis Pkwy Ste 312, Anchorage, AK 99508-5231 | 2008-01-07 |
| 1255478863 | Jennifer Jansma | Podiatrist | 4100 Lake Otis Pkwy Ste 312, Anchorage, AK 99508-5231 | 2007-01-31 |
| 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 | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588755110 | Kenneth Craig Swayman | Podiatrist | 2741 Debarr Rd Ste C315, Anchorage, AK 99508-2992 | 2006-09-27 |
| 1861809311 | Alaskan Legacy Podiatric Foot & Ankle Specialist LLC | Podiatrist | 4001 Laurel St, Suite 209, Anchorage, AK 99508-5300 | 2014-07-16 |
| 1245656727 | Anchorage Foot and Ankle Clinic, LLC | Podiatrist | 1000 E Dimond Blvd, Suite 201, Anchorage, AK 99515-2029 | 2014-03-08 |
| 1447424965 | Jared Kern | Podiatrist | 4100 Lake Otis Pkwy, Suite 312, Anchorage, AK 99508-5229 | 2008-04-16 |
| 1891821534 | Gary H Wilson | Podiatrist | 1000 E Dimond Blvd, Anchorage, AK 99515-2008 | 2007-02-26 |
| 1255478863 | Jennifer Jansma | Podiatrist | 4100 Lake Otis Pkwy Ste 312, Anchorage, AK 99508-5231 | 2007-01-31 |
| 1457431785 | Karl Albert Boesenberg | Podiatrist | 2741 Debarr Rd, Suite C-315, Anchorage, AK 99508-2953 | 2006-10-17 |
| 1316046790 | Matt A. Heilala, Dpm Inc. | Podiatrist | 4100 Lake Otis Pkwy, Suite 312, Anchorage, AK 99508-5222 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922566652 | Matt A. Heilala, Dpm Inc. | Podiatrist | 3190 E Meridian Park Loop Ste 205, Wasilla, AK 99654-7422 | 2019-03-12 |
| 1578819215 | Danny Romman | Podiatrist | 240 Hospital Pl Ste 203, Soldotna, AK 99669-7559 | 2012-07-31 |
| 1659687945 | Fairbanks Foot & Ankle Inc. | Podiatrist | 1405 Kellum St., Ste 200, Fairbanks, AK 99701 | 2010-08-24 |
| 1417042912 | Frank Fir Mesdag | Podiatrist | 8800 Glacier Highway, Suite 218, Juneau, AK 99801-8080 | 2006-10-03 |
| 1649620303 | Whitney Daneille Garner | Podiatrist | 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | 2016-06-14 |
| 1699119016 | Kristina Diann Lacy | Podiatrist | 240 Hospital Pl, Suite 203, Soldotna, AK 99669-7559 | 2013-04-29 |
| 1699968438 | Kito Daren Brooks | Podiatrist | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2007-08-24 |
| 1669673596 | Kelly Marie Moxley | Podiatrist | 8800 Glacier Hwy, Suite 218, Juneau, AK 99801-8087 | 2007-05-29 |
| 1720041601 | Brett Carner | Podiatrist | 5955 Zeamer Avenue, 673d Mdg, Jber, AK 99506 | 2006-04-11 |
Please comment or provide details below to improve the information on DR. MATT A HEILALA.
| 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.