JIM F WALERY (NPI# 1851366207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851366207 |
| Entity Type | Individual |
| Full Name | JIM F WALERY |
| Credential | M.D. |
| Practice Address |
1201 E 36th Ave Anchorage AK 99508-4372 |
| Mailing Address |
Po Box 4105 Portland OR 97208-4105 |
| Practice Telephone | 9075629229 |
| Practice Fax Number | 9075621603 |
| Mailing Telephone | 8669071068 |
| Mailing Fax Number | 4259179141 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2020-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
3967 | SD | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 102832 | AK | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 3967 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1636403 | 05 | |
| SD | 5609880 | 05 |
| Street Address |
1201 E 36TH AVE |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-4372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821080888 | Thomas Samuel Nighswander | Family Medicine | 1201 E 36th Ave, Anchorage, AK 99508 | 2005-08-16 |
| 1811518897 | Maegan E Lange | Family Medicine | 1201 E 36th Ave, Anchorage, AK 99508-4372 | 2020-05-01 |
| 1174144018 | Delana Eby | Family Medicine | 1201 E 36th Ave, Anchorage, AK 99508-4372 | 2020-05-01 |
| 1508487448 | James Fabiszak | Student in an Organized Health Care Education/Training Program | 1201 E 36th Ave, Anchorage, AK 99508-4372 | 2020-05-01 |
| 1164043014 | Seth Workentine | Family Medicine | 1201 E 36th Ave, Anchorage, AK 99508-4372 | 2020-05-01 |
| 1285255141 | Victoria Saturnino | Family Medicine | 1201 E 36th Ave, Anchorage, AK 99508-4372 | 2020-05-01 |
| 1033730015 | Samuel C Castles | Family Medicine | 1201 E 36th Ave, Anchorage, AK 99508-4372 | 2020-05-01 |
| 1295356178 | Carly T Craig | Family Medicine | 1201 E 36th Ave, Anchorage, AK 99508-4372 | 2020-05-01 |
| 1659992592 | Benjamin Lentz | Family Medicine | 1201 E 36th Ave, Anchorage, AK 99508-4372 | 2020-05-01 |
| 1760003602 | Kenneth Kang | Student in an Organized Health Care Education/Training Program | 1201 E 36th Ave, Anchorage, AK 99508-4372 | 2020-05-01 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1639645021 | Alaska Medical Specialty Group LLC | Family Medicine | 4100 Lake Otis Pkwy Ste 218, Anchorage, AK 99508-5230 | 2018-10-23 |
| 1790278356 | Vanity: Aesthetics, Dermatology & Wellness, LLC | Family Medicine | 431 W 7th Ave Ste 204, Anchorage, AK 99501-3500 | 2018-06-08 |
| 1144677402 | Shadia Sarah Tolliver | Family Medicine | 4001 Dale St Ste 210, Anchorage, AK 99508-5445 | 2016-05-17 |
| 1720466949 | Nicholas A Van Lith | Family Medicine | 3300 Providence Dr Ste B314, Anchorage, AK 99508-4621 | 2015-05-07 |
| 1710390281 | Megan Harman | Family Medicine | 4320 Diplomacy Dr Ste 1191, Anchorage, AK 99508-5925 | 2014-06-03 |
| 1780947143 | Briana Mongini Cranmer | Family Medicine | 1450 Muldoon Rd Ste 100, Anchorage, AK 99504-2820 | 2012-06-20 |
| 1184907107 | Grace Shimotsu | Family Medicine | 7481 Foxridge Way Apt D, Anchorage, AK 99518-2774 | 2011-09-26 |
| 1477844397 | Thomas G Lang Md LLC | Family Medicine | 741 Sesame St Ste 1b, Anchorage, AK 99503-6657 | 2011-04-26 |
| 1114238599 | Erin Royal | Family Medicine | 2841 Debarr Rd Ste 24, Anchorage, AK 99508 | 2010-06-30 |
| 1659691590 | Robin L. Ninefeldt | Family Medicine | 2015 Merrill Field Dr, Anchorage, AK 99501-4137 | 2010-06-02 |
| 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.