La Maestra Family Clinic, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LA MAESTRA FAMILY CLINIC, INC.

Doing business as

La Maestra Seldovia Clinic

Practice address

259 Seldovia Street,
Box 206
Seldovia, AK 99663-0206

Phone

(907) 234-7825

Fax

(907) 234-7825

NPI assigned

Oct 16, 2014

Organization subpart

No

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

Authorized official

Name

Tom Vu

Title

Director of Corporate Compliance

Phone

(619) 269-1292

Specialties & licenses 3

Addresses

Other names 1

• La Maestra Seldovia Clinic Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sue E Christiansen, PA-C

  • Physician Assistant
  • Anchorage, AK
  • NPI 1447267646
  NPD (past)
• Martha T Cotten, MD

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1528170677
  NPD (past)

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

{
    "created_epoch": "1413417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1912301110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 FAIRMOUNT AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051608",
            "telephone_number": "619-584-1612",
            "fax_number": "619-281-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 SELDOVIA STREET,",
            "address_2": "BOX 206",
            "city": "SELDOVIA",
            "state": "AK",
            "postal_code": "996630206",
            "telephone_number": "907-234-7825",
            "fax_number": "907-234-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA MAESTRA FAMILY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-16",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "DIRECTOR OF CORPORATE COMPLIANCE",
        "authorized_official_telephone_number": "619-269-1292"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "1011073",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "1011073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Maestra Seldovia Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community Health Imaging Centers
• Alison Godwin, LMT
• Lilli Ann Ohse, LPC
• Melissa R Peterson
• Art Prennace, LPC
• Lawrence Lewis Reynolds, MD
• Mary Anne Wilson, ANP

• Family Medicine Physician in Seldovia, AK
• Providers in Seldovia, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.