ORTHOALASKA, LLC (NPI# 1871529990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871529990 |
| Entity Type | Organization |
| Organization Name | ORTHOALASKA, LLC |
| Practice Address |
3801 Lake Otis Pkwy Ste 300 Anchorage AK 99508-5234 |
| Practice Telephone | 9075622277 |
| Practice Fax Number | 9075633460 |
| Mailing Telephone | 9075622277 |
| Mailing Fax Number | 9075633460 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2016-05-19 |
| Authorized Official Name | EUGENE M CHANG (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 9075622277 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
272455 | AK | Allopathic & Osteopathic Physicians |
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 207X00000X | Orthopaedic Surgery | 272455 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1020561 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043698491 | Orthoalaska, LLC | Durable Medical Equipment & Medical Supplies | 3125 E Meridian Park Loop, Wasilla, AK 99654 | 2015-05-18 |
| 1316353766 | Orthoalaska, LLC | Durable Medical Equipment & Medical Supplies | 13015 Old Glenn Hwy Ste 100, Eagle River, AK 99577-7572 | 2014-07-07 |
| 1336504521 | Orthoalaska, LLC | Internal Medicine | 3801 Lake Otis Pkwy, Suite 300, Anchorage, AK 99508-5234 | 2015-12-15 |
| Street Address |
3801 LAKE OTIS PKWY STE 300 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467013771 | Daniel Ouellette | Physical Therapist | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2019-06-26 |
| 1710546874 | Sarah Caroline King | Massage Therapist | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2019-06-11 |
| 1730651514 | Peter Marbarger Jr. | Physician Assistant | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2018-12-18 |
| 1972070142 | Mari Carol Fugere | Occupational Therapist | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2018-10-25 |
| 1831612159 | Lillian Marie Sullivan | Massage Therapist | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508 | 2017-07-18 |
| 1225570864 | Elizabeth Seidl | Physical Therapist | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508 | 2016-11-14 |
| 1255889432 | Christina Waters | Physician Assistant | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2016-09-15 |
| 1508219205 | Mark Kasprowicz | Physical Therapist | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2016-07-18 |
| 1942652722 | Kevin Knight | Occupational Therapist | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2016-07-06 |
| 1386099372 | Michelle Patton | Massage Therapist | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2016-04-27 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093057895 | Rabun Samuel Fox | Orthopaedic Surgery | 3831 Piper St Ste 220, Anchorage, AK 99508-4680 | 2013-03-20 |
| 1194987511 | Kevin Charles Paisley | Orthopaedic Surgery | 4015 Lake Otis Pkwy Ste 201, Anchorage, AK 99508-5235 | 2008-06-26 |
| 1629132022 | John T Duddy | Orthopaedic Surgery | 2741 Debarr Rd Ste C305, Anchorage, AK 99508-2972 | 2006-12-20 |
| 1144392721 | Douglas Grant Smith | Orthopaedic Surgery | 4733 Pavalof St, Anchorage, AK 99507-1018 | 2006-11-15 |
| 1437160173 | Jeffrey Carl Parker | Orthopaedic Surgery | 4100 Lake Otis Pkwy, Suite 308, Anchorage, AK 99508 | 2006-08-10 |
| 1760402408 | George Francis Gates IIi | Orthopaedic Surgery | 3637 W 100th Ave, Anchorage, AK 99515-2224 | 2006-07-19 |
| 1225066095 | Eugene M Chang | Orthopaedic Surgery | 3801 Lake Otis Pkwy, Suite 300, Anchorage, AK 99508-5230 | 2006-06-29 |
| 1871540013 | James M Eule | Orthopaedic Surgery | 3801 Lake Otis Parkway, Suite 300, Anchorage, AK 99508-5926 | 2006-05-30 |
| 1346200011 | Gregory L Schumacher | Orthopaedic Surgery | 3831 Piper Street, Suite 220, Anchorage, AK 99508-4672 | 2006-03-25 |
| 1336114388 | Doug A Vermillion | Orthopaedic Surgery | 2741 Debarr Rd Ste C214, Anchorage, AK 99508-2978 | 2006-02-22 |
| 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.