Leo B Bustad (NPI# 1144245903, PAC ID# 9133132897) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1144245903 |
| PAC ID by PECOS | 9133132897 |
| Professional Enrollment ID | I20060724000344 |
| Full Name | Leo B Bustad |
| Address |
4100 Lake Otis Pkwy Suite 322 Anchorage AK 99508-5231 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 020001 | PROVIDENCE ALASKA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3200 Providence Dr, Anchorage, AK 99508-4615 | 9075622211 | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| 4100 Lake Otis Pkwy, Suite 322, Anchorage, AK 99508-5231 | ||
| 4951 Business Park Blvd, Anchorage, AK 99503-7174 | 9077437386 | ANCHORAGE NEIGHBORHOOD HEALTH CENTER INC |
| Street Address |
4100 LAKE OTIS PKWY SUITE 322 |
| City | ANCHORAGE |
| State | AK |
| Zip | 99508-5231 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David P Paulson | Neurosurgery | Coastal Neurology and Neurosurgery | 4100 Lake Otis Pkwy, Suite 320, Anchorage, AK 99508-5231 |
| Katherine E Smith | Nurse Practitioner | Aa Pain Clinic, Inc. | 4100 Lake Otis Pkwy, Suite 216, Anchorage, AK 99508-5230 |
| Rachel A Crawford | Certified Registered Nurse Anesthetist (crna) | Chugach Anesthesia LLC | 4100 Lake Otis Pkwy, Suite 222, Anchorage, AK 99508-5230 |
| Derek A Hagen | Family Medicine | Aa Pain Clinic, Inc. | 4100 Lake Otis Pkwy, Suite 216, Anchorage, AK 99508-5230 |
| Jessica H Anderson | Physician Assistant | Alaska Pediatric Surgery LLC | 4100 Lake Otis Pkwy, Suite 312, Anchorage, AK 99508-5231 |
| Alfred R Lonser | Anesthesiology | Aa Pain Clinic, Inc. | 4100 Lake Otis Pkwy, Suite 216, Anchorage, AK 99508-5230 |
| Aaron M Thrasher | Physician Assistant | Coastal Neurology and Neurosurgery | 4100 Lake Otis Pkwy, Suite 320, Anchorage, AK 99508-5231 |
| Jonathan A Metzger | Physician Assistant | Rhyneer Clinic PC | 4100 Lake Otis Pkwy, Suite 308, Anchorage, AK 99508-5231 |
| Kenneth J Boomgaard | Family Medicine | Aa Pain Clinic, Inc. | 4100 Lake Otis Pkwy, Suite 216, Anchorage, AK 99508-5230 |
| Jeffrey C Parker | Orthopedic Surgery | Rhyneer Clinic PC | 4100 Lake Otis Pkwy, Suite 308, Anchorage, AK 99508-5231 |
| 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 | INTERNAL MEDICINE |
| City + Specialty | ANCHORAGE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Leo B Bustad.
| 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.