MICHAEL POMEROY (NPI# 1922073188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922073188 |
| Entity Type | Individual |
| Full Name | MICHAEL POMEROY |
| Credential | PA-C |
| Practice Address |
1405 Kellum St Suite 101 Fairbanks AK 99701-4189 |
| Practice Telephone | 9073744636 |
| Practice Fax Number | 9073744853 |
| Mailing Telephone | 9073744636 |
| Mailing Fax Number | 9073744853 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2013-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
179 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA NUMBER | MP0750023 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215202122 | Michael Glen Pomeroy | Nurse Anesthetist, Certified Registered | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2012-03-12 |
| 1619253481 | Michael Pomeroy | Acupuncturist | 355 New Britain Rd, Kensington, CT 06037-1318 | 2011-10-25 |
| Street Address |
1405 KELLUM ST SUITE 101 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-4189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720052137 | Joni Simpson | Counselor | 1405 Kellum St, Fairbanks, AK 99701-4102 | 2006-02-14 |
| 1073081287 | Tanana Valley Clinic LLC | Clinic/Center | 1405 Kellum St, Fairbanks, AK 99701-4189 | 2018-11-06 |
| 1689920142 | Alchemy Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 1405 Kellum St, Suite 201, Fairbanks, AK 99701-4189 | 2012-08-01 |
| 1669619599 | Steese Orthopaedic Associates, LLC | Orthopaedic Surgery | 1405 Kellum St, Suite 101, Fairbanks, AK 99701-4102 | 2009-01-14 |
| 1558498402 | Ralph Sylvan Dixon | Podiatrist | 1405 Kellum St, Suite 200, Fairbanks, AK 99701-4189 | 2007-02-27 |
| 1356316699 | Donald Ives | Family Medicine | 1405 Kellum St, Suite 300, Fairbanks, AK 99701-4189 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801314596 | Sara Breann Langford | Physician Assistant | 575 Riverstone Way Unit 1, Fairbanks, AK 99709-2939 | 2017-09-01 |
| 1033451703 | Allison Cooper | Physician Assistant | 2310 Peger Rd Suite 105, Fairbanks, AK 99709-4848 | 2013-03-20 |
| 1487928784 | Michael Jon Voorhees | Physician Assistant | 1717 Cowles Street, Fairbanks, AK 99701 | 2012-03-05 |
| 1487926218 | Steven Lee Craddick | Physician Assistant | 1867 Airport Frontage Road, Suite B (u.s. Healthworks Alaska), Fairbanks, AK 99701-1867 | 2012-02-09 |
| 1245491125 | Bridget Anne Johnson | Physician Assistant | 3875 Geist Rd, Suite E381, Fairbanks, AK 99709-3549 | 2008-06-23 |
| 1720092067 | Sylvia Ann Mccormick | Physician Assistant | 1008 16th Ave Ste 100, Fairbanks, AK 99701-6078 | 2006-07-29 |
| 1982627667 | Lindsay Leland Roberts | Physician Assistant | 2166 Yellow Leaf Ct, Fairbanks, AK 99709-6278 | 2006-07-25 |
| 1427078161 | Judy Lynn Lowe | Physician Assistant | 1867 Airport Way Ste 130b, Fairbanks, AK 99701-4056 | 2006-07-19 |
| 1689625964 | Van E Lamore | Physician Assistant | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2006-05-12 |
| 1023091618 | Caryn Scott | Physician Assistant | 201 1st Ave, Suite 200, Fairbanks, AK 99701-4848 | 2005-11-28 |
| Find all providers in FAIRBANKS | ||||
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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.