Marianne Vonhippel, MD
Individual provider Active NPI Developmental - Behavioral Pediatrics Physician · Anchorage, AK
NPI 1639285877 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1639285877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental - Behavioral Pediatrics Physician 2080P0006X
- License
- AA0514 (AK)
- Practice address
- 3340 Providence Dr Ste 452
Anchorage, AK 99508-4628 - Phone
- (907) 562-2120
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA0514 | AK | MD | Developmental - Behavioral Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Latouche Pediatrics, LLC | Past |
Accepting new patients | |
| Latouche Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | AA0514 | AK | Yes |
Addresses
Primary practice location
3340 Providence Dr Ste 452
Anchorage, AK 99508-4628
Mailing address
3340 Providence Dr Ste 452
Anchorage, AK 99508-4628
Phone (907) 562-2120
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD0514 | Medicaid | AK |
NPI Registry JSON
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639285877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 PROVIDENCE DR STE 452",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084628",
"telephone_number": "907-562-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3340 PROVIDENCE DR STE 452",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084628",
"telephone_number": "907-562-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONHIPPEL",
"first_name": "MARIANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "AK",
"license": "AA0514",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD0514",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
- Alexander H Von Hafften Jr.
- Cathleen Compton Von Hippel
- Christian Von Schrader
- Stephanie Vongphouthone
- Taylor Alexis Vonheeder
- Vonice LLC
- Nan Voorhees
- Stephanie Voorhees
- Liliya Vorobey
- VP Mindcare
All providers in Anchorage, AK · Developmental - Behavioral Pediatrics Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.