SUSAN J TATE MD
NPI 1184611519
Emergency Medicine - Emergency Medical Services in Fort Wainwright, AK

Active since September 30, 2005
4076 NEELY ROAD, FORT WAINWRIGHT, AK 99703(907) 361-5479 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 28, 2025, May 1, 2018 (2 updates tracked since 2018).

About Susan J Tate Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN J TATE MD (NPI 1184611519) is an individual emergency medical services provider in Fort Wainwright, Alaska, licensed in Alaska (4295) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1184611519
Entity TypeIndividualFemale
Primary Taxonomy207PE0004X
Provider Legal NameSUSAN J TATECredential: MD
Location Address4076 NEELY ROADFort Wainwright, AK 99703
Mailing Address4076 Neely RoadFt Wainwright, AK 99703 · (907) 361-5689
Sole ProprietorNo
Enumeration DateSeptember 30, 2005
Last NPPES UpdateMay 28, 20252 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
NPI 1184611519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License Licensed in AK · 4295
Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

4076 NEELY ROAD, Fort Wainwright, AK 99703

Other Identifiers 1

MedicaidMD0991AK

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703
Family Medicine
4076 NEELY ROAD
FT. WAINWRIGHT, AK 99703
Dentist
4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703
Nurse Practitioner (Family)
4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703
Nurse Practitioner (Family)
4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703
Registered Nurse
4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703
Obstetrics & Gynecology
4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703
Physician Assistant
4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Tate's NPI number?

The NPI number for Susan Tate is 1184611519. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Susan Tate located?

Susan Tate practices at 4076 Neely Road, Fort Wainwright, AK 99703. The listed phone number is (907) 361-5479.

What is Susan Tate's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

When was this NPI record last updated?

The NPPES record for Susan Tate was last updated on May 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.