Laura L Shively (NPI# 1174797088, PAC ID# 1254568231) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1174797088 |
| PAC ID by PECOS | 1254568231 |
| Professional Enrollment ID | I20131219000400 |
| Full Name | Laura L Shively |
| Organization Legal Name | ALASKA NATIVE TRIBAL HEALTH CONSORTIUM |
| Address |
3801 University Lake Dr Anchorage AK 99508-4658 |
| Phone Number | 9075632662 |
| Gender | F |
| Medical School | DARTMOUTH MEDICAL SCHOOL |
| Graduation Year | 2013 |
| Primary Specialty | NEUROLOGY |
| Secondary Specialties | OTOLARYNGOLOGY |
| Group Practice PAC ID | 6709780265 |
| Number of Group Practice Members | 411 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 020026 | ALASKA NATIVE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3801 University Lake Dr, Anchorage, AK 99508-4658 | 9075632662 | ALASKA NATIVE TRIBAL HEALTH CONSORTIUM |
| 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 9075632662 | ALASKA NATIVE TRIBAL HEALTH CONSORTIUM |
| Organization Legal Name | ALASKA NATIVE TRIBAL HEALTH CONSORTIUM |
| Physicians | 420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth C Turgeon | Family Medicine | Alaska Native Tribal Health Consortium | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 |
| Ryan Moore | Orthopedic Surgery | Alaska Native Tribal Health Consortium | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 |
| Norman C Rokosz | Neurosurgery | Alaska Native Tribal Health Consortium | 3976 University Lake Dr, Suite 100, Anchorage, AK 99508-4644 |
| Michael J Mcdonnell | Diagnostic Radiology | Alaska Native Tribal Health Consortium | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 |
| Bruce G Ensign | Pathology | Alaska Native Tribal Health Consortium | 3900 Ambassador Dr, Anchorage, AK 99508-5922 |
| Kyle J Pohl | Internal Medicine | Alaska Native Tribal Health Consortium | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 |
| Ryan T Mcwilliams | General Practice | Alaska Native Tribal Health Consortium | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 |
| Nathaniel L Eastman | General Surgery | Alaska Native Tribal Health Consortium | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 |
| Katharine A Andre | Family Medicine | Alaska Native Tribal Health Consortium | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 |
| Thomas Weissmueller | Anesthesiology | Alaska Native Tribal Health Consortium | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 |
| Street Address |
3801 UNIVERSITY LAKE DR |
| City | ANCHORAGE |
| State | AK |
| Zip | 99508-4658 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacey M Nieder | Family Medicine | Alaska Center for Pediatrics, LLC | 3801 University Lake Dr, Suite 301, Anchorage, AK 99508-4658 |
| Zachary Wayne Bear | Otolaryngology | Alaska Native Tribal Health Consortium | 3801 University Lake Dr, Anchorage, AK 99508-4658 |
| Erik A Olson | Physical Medicine and Rehabilitation | Rehabilitation Medicine Associates | 3801 University Lake Dr, Suite 300, Anchorage, AK 99508-4658 |
| Mark B Lorenz | Otolaryngology | Alaska Native Tribal Health Consortium | 3801 University Lake Dr, Anchorage, AK 99508-4658 |
| Richard K Winkle | Ophthalmology | Alaska Native Tribal Health Consortium | 3801 University Lake Dr, Anchorage, AK 99508-4658 |
| Megan Heinecke | Physician Assistant | Alaska Native Tribal Health Consortium | 3801 University Lake Dr, Anchorage, AK 99508-4658 |
| Ray Lorin Robinson Jr. | Family Medicine | Alaska Center for Pediatrics, LLC | 3801 University Lake Dr, Suite 301, Anchorage, AK 99508-4658 |
| Amalia R Steinberg | Otolaryngology | Alaska Native Tribal Health Consortium | 3801 University Lake Dr, Anchorage, AK 99508-4658 |
| Robert L Bridges | Diagnostic Radiology | Rehabilitation Medicine Associates | 3801 University Lake Dr, Suite 300, Anchorage, AK 99508-4658 |
| David G Chamberlain | Ophthalmology | Alaska Native Tribal Health Consortium | 3801 University Lake Dr, Anchorage, AK 99508-4658 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Mark Vanravenswaay | Family Medicine | 3521 Mountain View Dr, Anchorage, AK 99508-1111 | |
| Aaron M Dechant | Chiropractic | Better Health Pain and Wellness Centers, LLC | 729 Northway Dr, Anchorage, AK 99508-2030 |
| Doron Ben Avi | Diagnostic Radiology | Alaska Imaging Associates, LLC | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
| Even R Evanson | Physician Assistant | Alaska Heart Institute | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
| Alexis Delgado | Critical Care (intensivists) | Alaska Hospitalist Group LLC | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
| Suzanne C Grey | Certified Registered Nurse Anesthetist (crna) | Denali Anesthesia, P.C. | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
| Anthony K Larson | Family Medicine | South Sound Inpatient Physicians Pllc | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
| David James Scordino | Emergency Medicine | Denali Emergency Medicine Assoc PC | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
| Charles L Wilson | Internal Medicine | South Sound Inpatient Physicians Pllc | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
| Joshua J Sahara | Emergency Medicine | Denali Emergency Medicine Assoc PC | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
| Find all physicians in zip 99508 | |||
| City | ANCHORAGE |
| Zip Code | 99508 |
| Specialty | NEUROLOGY |
| City + Specialty | ANCHORAGE + NEUROLOGY |
Please comment or provide details below to improve the information on Laura L Shively.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.