| Orthoalaska, Llc | |
|
3801 Lake Otis Pkwy, Suite 300, Anchorage, AK 99508-5234 | |
| (907) 562-2277 | |
| (907) 563-3460 |
| Full Name | Orthoalaska, Llc |
|---|---|
| Type | Facility |
| Speciality | Orthopaedic Surgery |
| Location | 3801 Lake Otis Pkwy, Anchorage, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336504521 | NPI | - | NPPES |
| 1637471 | Medicaid | AK |
| Provider Name | Matt A Heilala |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1821135427 PECOS PAC ID: 8820901226 Enrollment ID: I20031117000513 |
| Provider Name | Eugene M Chang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225066095 PECOS PAC ID: 9739086976 Enrollment ID: I20031216000840 |
| Provider Name | Laura C Elliott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225143969 PECOS PAC ID: 8527055219 Enrollment ID: I20040426001588 |
| Provider Name | Mary Ann Foland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871557645 PECOS PAC ID: 4082671516 Enrollment ID: I20041215000906 |
| Provider Name | Eric J Miknich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124082995 PECOS PAC ID: 1153388525 Enrollment ID: I20041216001044 |
| Provider Name | Jane E Simono |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396709168 PECOS PAC ID: 1951368331 Enrollment ID: I20041216001064 |
| Provider Name | Jennifer R Jansma |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255478863 PECOS PAC ID: 9133159346 Enrollment ID: I20050817000733 |
| Provider Name | Sean D Taylor |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952372211 PECOS PAC ID: 7618994682 Enrollment ID: I20051028000495 |
| Provider Name | Tamara A Brothers-mcneil |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417996307 PECOS PAC ID: 4688616667 Enrollment ID: I20051116000994 |
| Provider Name | James L Glenn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457313538 PECOS PAC ID: 9830110774 Enrollment ID: I20051207000796 |
| Provider Name | Brandy M Atkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255394326 PECOS PAC ID: 8123041134 Enrollment ID: I20060105000201 |
| Provider Name | Jeffrey S Moore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659303212 PECOS PAC ID: 0042229809 Enrollment ID: I20060410000098 |
| Provider Name | Leo B Bustad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144245903 PECOS PAC ID: 9133132897 Enrollment ID: I20060724000344 |
| Provider Name | Christopher J Manion |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922043827 PECOS PAC ID: 9830093327 Enrollment ID: I20061012000075 |
| Provider Name | Christina M Froiland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487874913 PECOS PAC ID: 1759474638 Enrollment ID: I20070908000140 |
| Provider Name | Heath B Mcanally |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508855149 PECOS PAC ID: 9537254768 Enrollment ID: I20071003000650 |
| Provider Name | Shawn L Hadley |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1962478859 PECOS PAC ID: 4880776962 Enrollment ID: I20080129000031 |
| Provider Name | Erik Kussro |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1215904156 PECOS PAC ID: 4981786068 Enrollment ID: I20080129000034 |
| Provider Name | Duane C Heald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225192206 PECOS PAC ID: 0042291551 Enrollment ID: I20080211000201 |
| Provider Name | Michelle E Lacey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487846960 PECOS PAC ID: 4880764711 Enrollment ID: I20080604000613 |
| Provider Name | Rachael Sizemore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568654176 PECOS PAC ID: 2567534274 Enrollment ID: I20080711000274 |
| Provider Name | Elisha Thomas Powell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255345641 PECOS PAC ID: 7517034549 Enrollment ID: I20080917000447 |
| Provider Name | Elizabeth M Barnaby |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407923675 PECOS PAC ID: 1557425477 Enrollment ID: I20090121000458 |
| Provider Name | John K Botson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1881700334 PECOS PAC ID: 4284785007 Enrollment ID: I20090707000479 |
| Provider Name | Marc Richard Beck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437101292 PECOS PAC ID: 6305858903 Enrollment ID: I20090728000337 |
| Provider Name | James M Eule |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871540013 PECOS PAC ID: 0941107189 Enrollment ID: I20100225000503 |
| Provider Name | Jared E Crawford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639408222 PECOS PAC ID: 1052447786 Enrollment ID: I20100331001164 |
| Provider Name | Mark E Flanum |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184675126 PECOS PAC ID: 5890860860 Enrollment ID: I20100830000230 |
| Provider Name | Eric Suoja |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366403404 PECOS PAC ID: 9335338581 Enrollment ID: I20110104001042 |
| Provider Name | Joshua D Hedberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578864575 PECOS PAC ID: 1153510326 Enrollment ID: I20110104001165 |
| Provider Name | Tucker A Drury |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659440998 PECOS PAC ID: 0042491904 Enrollment ID: I20110224000867 |
| Provider Name | Sarah E Hood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225350689 PECOS PAC ID: 9436331048 Enrollment ID: I20110302001070 |
| Provider Name | Nicolle Wisniewski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871579961 PECOS PAC ID: 8123917796 Enrollment ID: I20111205000941 |
| Provider Name | Kathleen S Nuttle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356349005 PECOS PAC ID: 3678460615 Enrollment ID: I20120509000725 |
| Provider Name | Michael Darren Dyches |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821012154 PECOS PAC ID: 5294990859 Enrollment ID: I20120705000073 |
| Provider Name | Erik A Olson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1144454968 PECOS PAC ID: 4486800281 Enrollment ID: I20120810000108 |
| Provider Name | Jeffrey J Copeland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144439639 PECOS PAC ID: 7012164445 Enrollment ID: I20120820001048 |
| Provider Name | Ryan Lawrence Ragle |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1073781951 PECOS PAC ID: 3870644651 Enrollment ID: I20120827000179 |
| Provider Name | Constance Dafoe-rueb |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558619403 PECOS PAC ID: 6103077250 Enrollment ID: I20121119000286 |
| Provider Name | Amy F Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437155694 PECOS PAC ID: 7911960513 Enrollment ID: I20121218000129 |
| Provider Name | Allison M Lamb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578818043 PECOS PAC ID: 3476706060 Enrollment ID: I20130109000794 |
| Provider Name | Thomas B Paynter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831234798 PECOS PAC ID: 3173686847 Enrollment ID: I20130213000604 |
| Provider Name | Matthew E Crowe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376892133 PECOS PAC ID: 0547408460 Enrollment ID: I20130604000488 |
| Provider Name | Kimberly D Hand |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912963620 PECOS PAC ID: 1153330964 Enrollment ID: I20130827000979 |
| Provider Name | Laura M Luebke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669742193 PECOS PAC ID: 0547495913 Enrollment ID: I20131022000006 |
| Provider Name | Kevin C Isakson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720399140 PECOS PAC ID: 2365696721 Enrollment ID: I20131105001357 |
| Provider Name | Jeremiah Nathaniel Robinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760813703 PECOS PAC ID: 1951538917 Enrollment ID: I20131218001623 |
| Provider Name | Timothy W Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326275082 PECOS PAC ID: 3274787932 Enrollment ID: I20140102001615 |
| Provider Name | Beate Ludwig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598186884 PECOS PAC ID: 2668603929 Enrollment ID: I20140329000366 |
| Provider Name | Lela A Walker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588084958 PECOS PAC ID: 8921223603 Enrollment ID: I20140714001806 |
| Provider Name | Owen Lawarence Ala |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902065816 PECOS PAC ID: 0042437808 Enrollment ID: I20140819000905 |
| Provider Name | Meagan M Rector |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821480450 PECOS PAC ID: 9234456344 Enrollment ID: I20150331000683 |
| Provider Name | Marty J Sanchez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447497797 PECOS PAC ID: 0648581678 Enrollment ID: I20150617002840 |
| Provider Name | Maria A Hopkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720372634 PECOS PAC ID: 5698759413 Enrollment ID: I20150619001231 |
| Provider Name | Adam C Ellison |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730394669 PECOS PAC ID: 9335280064 Enrollment ID: I20150707002962 |
| Provider Name | Deryk S Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558556399 PECOS PAC ID: 8426243601 Enrollment ID: I20150714003153 |
| Provider Name | Curtis Mina |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366618530 PECOS PAC ID: 1456507029 Enrollment ID: I20150817002709 |
| Provider Name | Barbara Ann Lemmel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639552466 PECOS PAC ID: 8325356710 Enrollment ID: I20151005002382 |
| Provider Name | Zachary L Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770968158 PECOS PAC ID: 4587973631 Enrollment ID: I20151012002389 |
| Provider Name | Iva M Milgrim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528386414 PECOS PAC ID: 7911223615 Enrollment ID: I20151019002331 |
| Provider Name | Brian O Loughlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245638436 PECOS PAC ID: 4587974902 Enrollment ID: I20151113001392 |
| Provider Name | Michael D Craig |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427429380 PECOS PAC ID: 7012217235 Enrollment ID: I20151119001872 |
| Provider Name | Emily Seidl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912309683 PECOS PAC ID: 0648570606 Enrollment ID: I20151123001816 |
| Provider Name | Alicia S Hanta |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932515491 PECOS PAC ID: 5799718458 Enrollment ID: I20151203002995 |
| Provider Name | Adam R Corneliussen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821490301 PECOS PAC ID: 1557662210 Enrollment ID: I20151222001728 |
| Provider Name | Kevin Christopher Knight |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942652722 PECOS PAC ID: 3779878608 Enrollment ID: I20160817000818 |
| Provider Name | Mark Kasprowicz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508219205 PECOS PAC ID: 3274820923 Enrollment ID: I20160922002330 |
| Provider Name | Elizabeth Seidl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225570864 PECOS PAC ID: 7113208794 Enrollment ID: I20161220001776 |
| Provider Name | Shawn A Frazier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700333895 PECOS PAC ID: 0547543886 Enrollment ID: I20170210000596 |
| Provider Name | Adrian K Giani |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194119313 PECOS PAC ID: 2860393188 Enrollment ID: I20170217002073 |
| Provider Name | Dann J Laudermilch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063709673 PECOS PAC ID: 0941517668 Enrollment ID: I20170228002300 |
| Provider Name | Bryan Haughom |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275828436 PECOS PAC ID: 7214223205 Enrollment ID: I20170818001512 |
| Provider Name | Parin Seakit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366882953 PECOS PAC ID: 2163655432 Enrollment ID: I20170906003717 |
| Provider Name | William Joseph Helmick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245534262 PECOS PAC ID: 4880877513 Enrollment ID: I20170911000646 |
| Provider Name | Kellee Grenier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407306392 PECOS PAC ID: 6406120013 Enrollment ID: I20170920003223 |
| Provider Name | Brittany Sedlacek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831523745 PECOS PAC ID: 9032343330 Enrollment ID: I20171006002258 |
| Provider Name | Christina J Waters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255889432 PECOS PAC ID: 1850659178 Enrollment ID: I20171214001473 |
| Provider Name | Lindsay Rachel Ekiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902325558 PECOS PAC ID: 1456610708 Enrollment ID: I20180115000295 |
| Provider Name | Jessie Willow Janowski |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1144545476 PECOS PAC ID: 9931406295 Enrollment ID: I20180619002487 |
| Provider Name | Richard A Ellis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194011494 PECOS PAC ID: 0749450716 Enrollment ID: I20180731003504 |
| Provider Name | Katherine Ann Boston |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013493378 PECOS PAC ID: 6709135833 Enrollment ID: I20180822001051 |
| Provider Name | James Preston Alex |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508278904 PECOS PAC ID: 1456577485 Enrollment ID: I20180918003470 |
| Provider Name | Gene Anthony Falkowski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841554201 PECOS PAC ID: 2567694052 Enrollment ID: I20180921001047 |
| Provider Name | Andrea Maria Frangiosa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629340518 PECOS PAC ID: 6305073073 Enrollment ID: I20181024001628 |
| Provider Name | Lindsey L Hill |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700360864 PECOS PAC ID: 7719221449 Enrollment ID: I20181205003687 |
| Provider Name | Zachary Daniel Hartmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942783170 PECOS PAC ID: 6608116132 Enrollment ID: I20190320001978 |
| Provider Name | Sherri K Sandefur |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730251299 PECOS PAC ID: 8628318706 Enrollment ID: I20190328000167 |
| Provider Name | Stephanie Ann Wettin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467872036 PECOS PAC ID: 2668714486 Enrollment ID: I20190426001938 |
| Provider Name | Mark Allen Limb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356562052 PECOS PAC ID: 3274798830 Enrollment ID: I20190516002519 |
| Provider Name | Peter David Marbarger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730651514 PECOS PAC ID: 9739412412 Enrollment ID: I20190612000829 |
| Provider Name | Mary Patricia Fox |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1881937282 PECOS PAC ID: 2668761636 Enrollment ID: I20190709001314 |
| Provider Name | Rabun Samuel Fox |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093057895 PECOS PAC ID: 0840589750 Enrollment ID: I20190711001218 |
| Provider Name | Alan Swenson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215371430 PECOS PAC ID: 9436475605 Enrollment ID: I20190812003017 |
| Provider Name | Daniel R Ouellette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467013771 PECOS PAC ID: 6901134766 Enrollment ID: I20190819001721 |
| Provider Name | Eva Cress Lyons |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003475559 PECOS PAC ID: 5698005486 Enrollment ID: I20190920001288 |
| Provider Name | Matthew Obermeyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982255949 PECOS PAC ID: 3779815535 Enrollment ID: I20191028001683 |
| Provider Name | Kylie Nicole Street |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700368081 PECOS PAC ID: 9032545702 Enrollment ID: I20200129001300 |
| Provider Name | John A Rexroth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114340262 PECOS PAC ID: 8022233956 Enrollment ID: I20200229000093 |
| Provider Name | David Minshall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720389398 PECOS PAC ID: 0941590350 Enrollment ID: I20200403002147 |
| Provider Name | Rebecca Libal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588113203 PECOS PAC ID: 0547691420 Enrollment ID: I20200508000928 |
| Provider Name | Elizabeth M Spence |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912225574 PECOS PAC ID: 8224358551 Enrollment ID: I20200622000838 |
| Provider Name | Jamie Marie Bourque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942765052 PECOS PAC ID: 8820411234 Enrollment ID: I20200701002703 |
| Provider Name | Derrick A Foge |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669890216 PECOS PAC ID: 0042533572 Enrollment ID: I20200713000971 |
| Provider Name | Grant Robert Moravec |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619593977 PECOS PAC ID: 3870917297 Enrollment ID: I20200717003078 |
| Provider Name | Kristina Hedum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710503792 PECOS PAC ID: 3274959770 Enrollment ID: I20200814000353 |
| Provider Name | Aurora Messina Gargagliano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548741051 PECOS PAC ID: 7810315306 Enrollment ID: I20200915003080 |
| Provider Name | Christopher Roy Kaddatz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174131684 PECOS PAC ID: 3375962145 Enrollment ID: I20200928002241 |
| Provider Name | Bailey Green |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922530971 PECOS PAC ID: 8921385519 Enrollment ID: I20210217002154 |
| Provider Name | Lennett Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104425073 PECOS PAC ID: 3577972496 Enrollment ID: I20210505002830 |
| Provider Name | Christina Marie Roehling |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760901870 PECOS PAC ID: 0749521771 Enrollment ID: I20210609003457 |
| Provider Name | Darian Haynes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477120665 PECOS PAC ID: 6608277009 Enrollment ID: I20210623000674 |
| Provider Name | Dylan Michael Rubinic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255749701 PECOS PAC ID: 3072914878 Enrollment ID: I20210630003899 |
| Provider Name | Caitlin Justine Koelling |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063917177 PECOS PAC ID: 4880941210 Enrollment ID: I20210715003432 |
| Provider Name | Cristina Helen Copus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205284825 PECOS PAC ID: 4486935376 Enrollment ID: I20210722003335 |
| Provider Name | Mitchell Alexander St. Clair |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548938038 PECOS PAC ID: 1456757574 Enrollment ID: I20210914003437 |
| Provider Name | Andrew S Peters |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1831453026 PECOS PAC ID: 5991022022 Enrollment ID: I20210920003146 |
| Provider Name | Hale C Loofbourrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093121881 PECOS PAC ID: 2163647207 Enrollment ID: I20210923002510 |
| Provider Name | Elizabeth Ann Paynter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962156422 PECOS PAC ID: 0143614636 Enrollment ID: I20220226000191 |
| Provider Name | Cynthia Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013098326 PECOS PAC ID: 3971504234 Enrollment ID: I20220406001604 |
| Provider Name | Vania Praise Purpero |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437704012 PECOS PAC ID: 5991034969 Enrollment ID: I20220817001599 |
| Provider Name | Ryan Dupuis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063996437 PECOS PAC ID: 9931445590 Enrollment ID: I20220901001534 |
| Provider Name | Ashley Sophia Clifford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144958299 PECOS PAC ID: 7113302381 Enrollment ID: I20220923002882 |
| Provider Name | Mari Hately |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467447110 PECOS PAC ID: 9234215500 Enrollment ID: I20221028002525 |
| Provider Name | Paul Kenneth R Manabat |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992426936 PECOS PAC ID: 8729455829 Enrollment ID: I20221102001768 |
| Provider Name | Ealum E Howe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083383855 PECOS PAC ID: 5193193258 Enrollment ID: I20221121001730 |
| Provider Name | Karrie Lynn Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043520588 PECOS PAC ID: 8022352491 Enrollment ID: I20221207000540 |
| Provider Name | Kathryn Newberry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336629492 PECOS PAC ID: 5597017939 Enrollment ID: I20221215001378 |
| Provider Name | Rochelle Aleman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730857368 PECOS PAC ID: 1759752249 Enrollment ID: I20230119003064 |
| Provider Name | Mary Perez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033617303 PECOS PAC ID: 8426429408 Enrollment ID: I20230131000584 |
| Provider Name | Gregory D Daum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346703295 PECOS PAC ID: 6608105754 Enrollment ID: I20230221002501 |
| Provider Name | Jennifer Tennapel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790802197 PECOS PAC ID: 0244543304 Enrollment ID: I20230302001635 |
| Provider Name | Jeffrey Robert Hartzell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033479688 PECOS PAC ID: 3971977786 Enrollment ID: I20230317001944 |
| Provider Name | Michael Baxter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467166322 PECOS PAC ID: 4486029626 Enrollment ID: I20230331001085 |
| Provider Name | Sharon Ong |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1881154003 PECOS PAC ID: 3173983368 Enrollment ID: I20230719003635 |
| Provider Name | Caitlin M Temple |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255740155 PECOS PAC ID: 0749503878 Enrollment ID: I20230720003172 |
| Provider Name | Jason Brett Parry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477238343 PECOS PAC ID: 4385005065 Enrollment ID: I20230727001590 |
| Provider Name | Iain Elliott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942629688 PECOS PAC ID: 6709188006 Enrollment ID: I20230815001923 |
| Provider Name | Jonathan R Weiser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336789767 PECOS PAC ID: 8820451545 Enrollment ID: I20230829002112 |
| Provider Name | Anton Clark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487372116 PECOS PAC ID: 3779926308 Enrollment ID: I20240209003130 |
| Provider Name | Eva Vaaia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033838248 PECOS PAC ID: 3072956549 Enrollment ID: I20240212003368 |
| Provider Name | Trever Kingsbury |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083483051 PECOS PAC ID: 9335587443 Enrollment ID: I20240409003132 |
| Provider Name | Andrew Jacobsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669165361 PECOS PAC ID: 0941668693 Enrollment ID: I20240723004288 |
| Provider Name | Sydney Mcdonough |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922760925 PECOS PAC ID: 4688072929 Enrollment ID: I20240801000928 |
| Provider Name | Leigh Marie Kingsbury |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922839091 PECOS PAC ID: 0749729242 Enrollment ID: I20240828003218 |
| Provider Name | Alexandra Ilona Shannon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922843929 PECOS PAC ID: 5294274437 Enrollment ID: I20240830003296 |
| Provider Name | Ashleigh Farris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285015883 PECOS PAC ID: 4587908462 Enrollment ID: I20241120000332 |
| Provider Name | Kristina M Smalley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730386293 PECOS PAC ID: 9537260740 Enrollment ID: I20241121003208 |
| Provider Name | Derek Thomas Kelkenberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336817675 PECOS PAC ID: 3375949415 Enrollment ID: I20250116000633 |
| Provider Name | Molly Ellen Lewis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538793104 PECOS PAC ID: 5799214821 Enrollment ID: I20250117002999 |
| Provider Name | Yael Miriam Shoshana Klionsky |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437506672 PECOS PAC ID: 6709179252 Enrollment ID: I20250122000957 |
| Provider Name | Anna Kay Cantrell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609687078 PECOS PAC ID: 0749719235 Enrollment ID: I20250129000819 |
| Provider Name | Leslie Ann Langum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184921314 PECOS PAC ID: 6406031756 Enrollment ID: I20250206001850 |
| Provider Name | Caroline Bourquin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750198735 PECOS PAC ID: 0244750131 Enrollment ID: I20250221002818 |
| Provider Name | Sean Edward Dunleavy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285021725 PECOS PAC ID: 1052615879 Enrollment ID: I20250319001066 |
| Provider Name | Michelle Marie Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194539817 PECOS PAC ID: 1355863382 Enrollment ID: I20250319003864 |
| Provider Name | Shawna Rene Hickel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770846131 PECOS PAC ID: 0446404891 Enrollment ID: I20250422003314 |
| Provider Name | Cassidy Satran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083427207 PECOS PAC ID: 1254858442 Enrollment ID: I20250512000788 |
| Provider Name | Olivia F Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679356950 PECOS PAC ID: 4486173614 Enrollment ID: I20250521001721 |
| Provider Name | Samantha Orth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346089661 PECOS PAC ID: 5799229779 Enrollment ID: I20250521001954 |
| Provider Name | Erik Scott Moore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295396570 PECOS PAC ID: 0547591919 Enrollment ID: I20250623002792 |
| Provider Name | Braden Collins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639779952 PECOS PAC ID: 1658783055 Enrollment ID: I20250625001721 |
| Provider Name | Emily Roberts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326696709 PECOS PAC ID: 0143647131 Enrollment ID: I20250701004617 |
| Provider Name | Kelsey Fischer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487254322 PECOS PAC ID: 7113337122 Enrollment ID: I20250714000535 |
| Provider Name | Hannah Toberman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225695935 PECOS PAC ID: 3476905712 Enrollment ID: I20250721000307 |
| Provider Name | Jackson Rucker Staggers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972097756 PECOS PAC ID: 8426392804 Enrollment ID: I20250806004098 |
| Provider Name | Beatrice Elise Powers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619499555 PECOS PAC ID: 0941748693 Enrollment ID: I20250813004444 |
| Provider Name | Steven A Ditgen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467073569 PECOS PAC ID: 3678996170 Enrollment ID: I20251027004344 |
| Provider Name | Amy Gentry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447933221 PECOS PAC ID: 4688020233 Enrollment ID: I20251030004346 |
| Provider Name | Courtney Ditgen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245861566 PECOS PAC ID: 7517380405 Enrollment ID: I20251112002978 |
| Provider Name | Shannon Hirl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174184345 PECOS PAC ID: 0648507269 Enrollment ID: I20251216003413 |
| Provider Name | Kassidy Braddy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538847728 PECOS PAC ID: 7618339524 Enrollment ID: I20251231003803 |
| Provider Name | Laura Elizabeth Matthews |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659899797 PECOS PAC ID: 4486920634 Enrollment ID: I20260331000247 |
| Provider Name | Richard B Chae |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528774015 PECOS PAC ID: 9931565363 Enrollment ID: I20260504007087 |
| Mailing Address | Practice Location Address |
|---|---|
| Orthoalaska, Llc 3801 Lake Otis Pkwy, Suite 300, Anchorage, AK 99508-5234 Ph: (907) 562-2277 | Orthoalaska, Llc 3801 Lake Otis Pkwy, Suite 300, Anchorage, AK 99508-5234 Ph: (907) 562-2277 |