DENALI HEALTHCARE SPECIALISTS LLC (NPI# 1851829782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851829782 |
| Entity Type | Organization |
| Organization Name | DENALI HEALTHCARE SPECIALISTS LLC |
| Other Organization Name | DENALI CENTERS FOR NEUROLOGY |
| Practice Address |
4048 Laurel St Ste 202c Anchorage AK 99508-5390 |
| Mailing Address |
4048 Laurel St Ste 202 Anchorage AK 99508-5390 |
| Practice Telephone | 9076771012 |
| Mailing Telephone | 2144498580 |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MRS. KRISTEN SMITH (CREDENTIALING DEPT) |
| Authorized Official Telephone | 2148244412 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Denali Centers for Neurology | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3202 International St Ste 200, Fairbanks, AK 997017311 | 9073280582 | |
| 351 W Parks Hwy Ste 100a, Wasilla, AK 996546920 | 9076771014 | |
| 35670 Kenai Spur Hwy Ste 103, Soldotna, AK 996697649 | 9072609520 |
| Street Address |
4048 LAUREL ST STE 202C |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5390 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770814923 | Jason E Polchinski | Psychiatry & Neurology | 3900 Ambassador Dr, Anchorage, AK 99508 | 2010-01-27 |
| 1578701033 | Marci L Troxell | Psychiatry & Neurology | 2841 Debarr Rd Ste 32, Anchorage, AK 99508-2967 | 2009-01-21 |
| 1710157995 | North Pacific Neuromonitoring Associates, P.C. | Psychiatry & Neurology | 2100 N Star St, Anchorage, AK 99503-1819 | 2008-03-04 |
| 1912078833 | Shirley H Fraser | Psychiatry & Neurology | 1200 I St, #704, Anchorage, AK 99501 | 2006-11-13 |
| 1801808969 | Stanford W. Downs | Psychiatry & Neurology | 2741 Debarr Rd Ste 413, Anchorage, AK 99508-2953 | 2006-08-13 |
| 1346200227 | Kim E Madden | Psychiatry & Neurology | 4141 B St, Suite 401, Anchorage, AK 99503-5940 | 2006-03-24 |
| 1972042612 | Alaska Inpatient Neurology Services, LLC | Psychiatry & Neurology | 2741 Debarr Rd, Suite 413, Anchorage, AK 99508-2961 | 2017-02-14 |
| 1528334539 | Alaska Sleep Disorder Center LLC | Psychiatry & Neurology | 3400 Latouche St, Suite 200, Anchorage, AK 99508-4208 | 2012-03-25 |
| 1366715245 | Graham Glass Md, LLC | Psychiatry & Neurology | 2440 E Tudor Rd, Pmb #1111, Anchorage, AK 99507-1185 | 2012-02-22 |
| 1225348592 | Christina Viola Darby | Psychiatry & Neurology | 3900 Ambassador Dr, Anchorage, AK 99508-5922 | 2010-10-20 |
| 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.