Mountain View Health Services

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MOUNTAIN VIEW HEALTH SERVICES

Practice address

3521 Mountain View Dr
Anchorage, AK 99508-1111

Phone

(907) 868-1105

NPI assigned

Aug 7, 2020

Last updated

Aug 7, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jonathan Van Ravenswaay, MDNPI 1154768588

Title

Executive Director

Phone

(907) 868-1105

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Mark Vanravenswaay, MD

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1154768588
  Medicare reassignment Care Compare group Authorized official
• Gregory Lee Higgins, MD

  • Emergency Medicine Physician
  • Palmer, AK
  • NPI 1053323907
  Medicare reassignment Care Compare group
• Srikanth Malladi, MD

  • Internal Medicine Physician
  • Palmer, AK
  • NPI 1558848143
  Medicare reassignment Care Compare group
• Delphine Atu-Tetuh

  • Psychiatric/Mental Health Nurse Practitioner
  • Anchorage, AK
  • NPI 1437516499
  Medicare reassignment
• Deborah Lena Coolidge, PA-C

  • Physician Assistant
  • Prudhoe Bay, AK
  • NPI 1265679401
  Medicare reassignment
• Osburt John Lorenzo, LCSW

  • Clinical Social Worker
  • Anchorage, AK
  • NPI 1699348284
  Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1669082392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140968",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995140968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 MOUNTAIN VIEW DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995081111",
            "telephone_number": "907-868-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "VAN RAVENSWAAY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-868-1105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain Path Counseling LLC
• Mountain Pediatric Telehealth LLC
• Mountain View Community Mental Health and Recovery Center LLC
• Mountain View Community Mental Health and Recovery Center LLC
• Mountain View Family Denistry
• Mountain West Derm - Blackhart PLLC (Alaska Center for Dermatology)
• Move Better Physical Therapy, Professional Corporation
• Movement Therapeutics, LLC
• Moving Mountains Occupational Therapy, LLC
• Kjeirstan Movius

• Health Service Clinic/Center in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Health Service Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.