DR. DWIGHT M ELLERBE (NPI# 1992778401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992778401 |
| Entity Type | Individual |
| Full Name | DR. DWIGHT M ELLERBE |
| Credential | MD |
| Practice Address |
3841 Piper St Suite T230 Anchorage AK 99508 |
| Practice Telephone | 9072798800 |
| Practice Fax Number | 9072798810 |
| Mailing Telephone | 9072798800 |
| Mailing Fax Number | 9072798810 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2013-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
1275 | AK | Allopathic & Osteopathic Physicians |
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
1275 | AK | Allopathic & Osteopathic Physicians |
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
1275 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD12751 | 05 |
| Street Address |
3841 PIPER ST SUITE T230 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619972478 | Kymberli Raye Brock | Nurse Practitioner | 3841 Piper St, Suite T100, Anchorage, AK 99508-4624 | 2005-06-17 |
| 1043862774 | Matthew Lee Shryock | Nurse Practitioner | 3841 Piper St, Anchorage, AK 99508-4624 | 2019-07-12 |
| 1558759423 | Arron O'callaghan | Physician Assistant | 3841 Piper St, Suite T-100, Anchorage, AK 99508-4624 | 2014-12-31 |
| 1316341142 | Kimberly S Dahm | Physician Assistant | 3841 Piper St, Suite T377, Anchorage, AK 99508-4624 | 2014-10-22 |
| 1598167033 | Gilbert Lewis Trout IIi | Physician Assistant | 3841 Piper St, Suite T-100, Anchorage, AK 99508-4624 | 2014-09-16 |
| 1003245788 | Bryan Farthing | Physician Assistant | 3841 Piper St, Suite T4-054, Anchorage, AK 99508-4624 | 2013-11-04 |
| 1861745283 | April J Dunlevy | Nurse Practitioner | 3841 Piper St, Suite T-100, Anchorage, AK 99508-4624 | 2012-10-23 |
| 1891047320 | Julia S Mccord | Nurse Practitioner | 3841 Piper St, Suite T300, Anchorage, AK 99508-4624 | 2012-10-08 |
| 1013285618 | Even R Evanson | Physician Assistant | 3841 Piper St, Suite T-100, Anchorage, AK 99508-4624 | 2011-12-09 |
| 1225310634 | Heidi Nichole Felton | Physician Assistant | 3841 Piper St, Suite T300, Anchorage, AK 99508-4624 | 2011-09-12 |
| 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 | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
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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.