Jonathan Mark Vanravenswaay


Address: 3521 Mountain View Dr, Anchorage, AK 99508-1111

Jonathan Mark Vanravenswaay (NPI# 1154768588, PAC ID# 6608181169) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1154768588
PAC ID by PECOS 6608181169
Professional Enrollment ID I20180802003032
Full Name Jonathan Mark Vanravenswaay
Address 3521 Mountain View Dr
Anchorage
AK 99508-1111
Gender M
Medical School UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year 2013
Primary Specialty FAMILY MEDICINE
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
3521 Mountain View Dr, Anchorage, AK 99508-1111

Organization Information

Office Location

Street Address 3521 MOUNTAIN VIEW DR
City ANCHORAGE
State AK
Zip 99508-1111

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Competitor

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City ANCHORAGE
Zip Code 99508
Specialty FAMILY MEDICINE
City + Specialty ANCHORAGE + FAMILY MEDICINE

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Dataset Information

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.

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