NORTHERN LIGHTS SURGICAL ASSOCIATES, P.C. (NPI# 1922372598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922372598 |
Entity Type | Organization |
Organization Name | NORTHERN LIGHTS SURGICAL ASSOCIATES, P.C. |
Practice Address |
3340 Providence Dr Suite 363 Anchorage AK 99508-4691 |
Mailing Address |
Po Box 876515 Wasilla AK 99687-6515 |
Practice Telephone | 9075626886 |
Enumeration Date | 2012-02-29 |
Last Update Date | 2012-02-29 |
Authorized Official Name | SARAH TROXEL (PRESIDENT) |
Authorized Official Telephone | 9075626886 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 3395 | AK | Other Service Providers |
Street Address |
3340 PROVIDENCE DR SUITE 363 |
City | ANCHORAGE |
State | AK |
Zip Code | 99508-4691 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992706865 | Evelyn D Rider | Pediatrics | 3340 Providence Dr, Suite 366, Anchorage, AK 99508-4616 | 2005-08-02 |
1265967137 | Providence Imaging Center | Clinic/Center | 3340 Providence Dr, Anchorage, AK 99508 | 2017-04-27 |
1053844019 | Stephanie S Fortt | Social Worker | 3340 Providence Dr, Suite A351, Anchorage, AK 99508-4691 | 2017-04-06 |
1407306434 | Haven Medical, LLC | Physician Assistant | 3340 Providence Dr, Ste 466, Anchorage, AK 99508-4691 | 2016-10-13 |
1962952234 | Megan Hurlburt | Dietitian, Registered | 3340 Providence Dr, Suite 358, Anchorage, AK 99508-4691 | 2016-10-10 |
1770968158 | Zachary Johnson | Physician Assistant | 3340 Providence Dr, Suite #a565, Anchorage, AK 99508-4691 | 2015-07-27 |
1235478553 | Jessica H Anderson | Physician Assistant | 3340 Providence Dr, Suite 565, Anchorage, AK 99508-4691 | 2013-02-06 |
1104174275 | Nicole Kopacz | Nurse Practitioner | 3340 Providence Dr, Suite 452, Anchorage, AK 99508-4691 | 2012-08-21 |
1831480151 | Todd Alan Sneesby | Dentist | 3340 Providence Dr, Suite 560, Anchorage, AK 99508-4627 | 2011-04-20 |
1275857922 | Robert Rossero Md LLC | Internal Medicine | 3340 Providence Dr, Suite 466, Anchorage, AK 99508-4627 | 2010-03-24 |
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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 |
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Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144790742 | Danielle M Hall | Specialist | 2925 Debarr Rd Ste 399, Anchorage, AK 99508-2966 | 2018-11-27 |
1497235642 | Beth Alta Fletcher | Specialist | 737 W 5th Ave Ste 202, Anchorage, AK 99501 | 2018-08-17 |
1982145637 | The Oriental Healing Arts Center LLC | Specialist | 2636 Spenard Rd, Anchorage, AK 99503-2336 | 2017-03-14 |
1720522410 | Rebecca Carter | Specialist | 5013 Marlowe Ave, A, Anchorage, AK 99508-3738 | 2016-12-14 |
1770035883 | Anne Honer | Specialist | 8641 Brookway Cir, Anchorage, AK 99504-4274 | 2016-10-25 |
1548711005 | Gordon Jay Wallis | Specialist | 142 W 5th Ave, Anchorage, AK 99501-2522 | 2016-10-19 |
1902258593 | Deborah Lucille Ballard | Specialist | 14225 Hancock Dr, Anchorage, AK 99515-3961 | 2016-07-07 |
1285086926 | Donna Jefferson | Specialist | 1000 Omalley Rd Ste 102, Anchorage, AK 99515-3083 | 2016-07-06 |
1558712653 | Michele Aitken | Specialist | 4850 Lake Otis Pkwy, 3333denali St. Suite 150, Anchorage, AK 99507-1419 | 2016-06-29 |
1962853580 | Brenda Marie Beck | Specialist | 8601 Brookway Cir, Anchorage, AK 99504-4274 | 2016-06-24 |
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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.