JUNEAU SPINE AND PAIN CENTER LLC (NPI# 1821327560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821327560 |
| Entity Type | Organization |
| Organization Name | JUNEAU SPINE AND PAIN CENTER LLC |
| Other Organization Name | SOUTHEAST ALASKA SURGERY CENTER |
| Practice Address |
3200 Hospital Dr Suite 100 Juneau AK 99801-7808 |
| Practice Telephone | 9075235962 |
| Practice Fax Number | 8007661962 |
| Mailing Telephone | 9075235962 |
| Mailing Fax Number | 8007661962 |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2016-03-23 |
| Authorized Official Name | JOHN BURSELL (MEMBER) |
| Authorized Official Telephone | 9077239885 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
360285 | AK | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Southeast Alaska Surgery Center | Doing Business As Name - Organization |
| Street Address |
3200 HOSPITAL DR SUITE 100 |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801-7808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487891230 | Karen Jean Loverink | Registered Nurse | 3200 Hospital Dr, Juneau, AK 99801-7808 | 2009-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
| 1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
| 1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
| 1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
| 1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
| 1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
| Find all providers in zip 99801 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184160905 | Juneau Obstetrics and Gynecology, P.C. | Clinic/Center | 3268 Hospital Dr, Suite B, Juneau, AK 99801-7800 | 2017-01-18 |
| 1558757765 | Southeast Urology, LLC | Clinic/Center | 3225 Hospital Dr, Suite 102, Juneau, AK 99801-7863 | 2015-04-14 |
| 1891812103 | Salmon Creek Surgery | Clinic/Center | 3225 Hospital Dr, Suite 102, Juneau, AK 99801 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932676343 | Exexias Metrita - Anchorage LLC | Clinic/Center | 3074 Mountain View Dr Ste 193, Anchorage, AK 99501-3144 | 2018-10-24 |
| 1073009304 | Susitna Surgery Center LLC | Clinic/Center | 2490 S Woodworth Loop Ste 100, Palmer, AK 99645-7410 | 2018-07-10 |
| 1144677840 | Arctic Surgery Center LLC | Clinic/Center | 1335 Gambell St, Anchorage, AK 99501-4629 | 2016-05-23 |
| 1922464874 | Asc North LLC | Clinic/Center | 6911 Debarr Rd, Anchorage, AK 99504-1806 | 2016-01-07 |
| 1679998025 | Surgery Center of Kenai | Clinic/Center | 100 Trading Bay Dr, Kenai, AK 99611-7716 | 2014-02-21 |
| 1649534843 | Surgery Center of Wasilla, LLC | Clinic/Center | 3190 E Meridian Park Loop Ste 111, Wasilla, AK 99654-7422 | 2012-07-02 |
| 1255652285 | Surgery Center of Fairbanks LLC | Clinic/Center | 2310 Peger Road, Fairbanks, AK 99709 | 2010-06-14 |
| 1710207998 | Providence Surgery Centers LLC | Clinic/Center | 3831 Piper St. Suite S-110, Anchorage, AK 99508 | 2010-06-10 |
| 1770605214 | Anchorage Endoscopy Center, LLC | Clinic/Center | 2841 Debarr Rd Ste 51, Anchorage, AK 99508-2932 | 2007-04-04 |
| 1316942048 | Alaska Spine Institute Surgery Center, LLC | Clinic/Center | 3801 Lake Otis Pkwy Ste 100, Anchorage, AK 99508-5234 | 2005-06-17 |
| Find all providers with the same taxonomy | ||||
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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.