| Central Peninsula General Hospital Inc. | |
|
250 Hospital Pl Soldotna AK 99669-7559 | |
| (907) 714-4404 | |
| Not Available |
| Full Name | Central Peninsula General Hospital Inc. |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 250 Hospital Pl, Soldotna, Alaska |
| Authorized Official Name and Position | Rick Davis (CEO) |
| Authorized Official Contact | 9077144723 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Peninsula General Hospital Inc. 250 Hospital Pl Soldotna AK 99669-7559 Ph: (907) 714-4404 | Central Peninsula General Hospital Inc. 250 Hospital Pl Soldotna AK 99669-7559 Ph: (907) 714-4404 |
| NPI Number | 1528062429 |
|---|---|
| Provider Enumeration Date | 06/08/2005 |
| Last Update Date | 02/25/2012 |
| Medicare PECOS PAC ID | 4587552575 |
|---|---|
| Medicare Enrollment ID | O20040310000598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528062429 | NPI | - | NPPES |
| 155 | Other | AK | BLUE CROSS |
| MS7723 | Medicaid | AK | |
| HS01IP | Medicaid | AK | |
| 0004 | Other | AK | TRICARE |
| HS01OP | Medicaid | AK | |
| DA7523 | Medicaid | AK | |
| MDG830 | Medicaid | AK | |
| HS01SB | Medicaid | AK |
| Provider Name | Christine M Babcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013902758 PECOS PAC ID: 3072408137 Enrollment ID: I20040217001144 |
| Provider Name | Kathryn A Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104997360 PECOS PAC ID: 6608762745 Enrollment ID: I20040225000500 |
| Provider Name | John Paul Bramante |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336185081 PECOS PAC ID: 5698663573 Enrollment ID: I20040415000313 |
| Provider Name | Kristie K Sellers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245203918 PECOS PAC ID: 1456349737 Enrollment ID: I20050115000165 |
| Provider Name | Rita A Lyseng |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669453478 PECOS PAC ID: 5092608653 Enrollment ID: I20050630000862 |
| Provider Name | Gregg K Motonaga |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063422145 PECOS PAC ID: 9638159478 Enrollment ID: I20051103000293 |
| Provider Name | Judy Lee Rohl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467475889 PECOS PAC ID: 9537117007 Enrollment ID: I20070508000089 |
| Provider Name | Justin P Evans |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174502603 PECOS PAC ID: 2769441849 Enrollment ID: I20070828000942 |
| Provider Name | Marguerite A Mcintosh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598757312 PECOS PAC ID: 4688767338 Enrollment ID: I20070911000604 |
| Provider Name | Angus Mcrae Warren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396946794 PECOS PAC ID: 2163516279 Enrollment ID: I20071011000656 |
| Provider Name | Brandi L Peck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265508857 PECOS PAC ID: 7517022833 Enrollment ID: I20090219000338 |
| Provider Name | David King |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710991229 PECOS PAC ID: 6608839196 Enrollment ID: I20090424000256 |
| Provider Name | Katherine M F Becher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003972043 PECOS PAC ID: 8527112200 Enrollment ID: I20090814000108 |
| Provider Name | Gregory H Hough |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356402986 PECOS PAC ID: 0749335727 Enrollment ID: I20090826000726 |
| Provider Name | Marek A Martynowicz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962581249 PECOS PAC ID: 8729073093 Enrollment ID: I20091103000744 |
| Provider Name | Kristin M Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023054061 PECOS PAC ID: 4587552468 Enrollment ID: I20100312000439 |
| Provider Name | Anna A. Boutwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558681734 PECOS PAC ID: 0042336075 Enrollment ID: I20100928000755 |
| Provider Name | Harold Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366427809 PECOS PAC ID: 2961696521 Enrollment ID: I20101028000313 |
| Provider Name | Ned Magen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982631743 PECOS PAC ID: 7012101678 Enrollment ID: I20101028000364 |
| Provider Name | Charles Charles Mickelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447275318 PECOS PAC ID: 8426243387 Enrollment ID: I20101117000884 |
| Provider Name | Cindy K Nickels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457585390 PECOS PAC ID: 9133273907 Enrollment ID: I20101214000599 |
| Provider Name | Robert H Emmick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720045263 PECOS PAC ID: 8224010756 Enrollment ID: I20110118000521 |
| Provider Name | Eric J Ashman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639160849 PECOS PAC ID: 6608058045 Enrollment ID: I20110307000908 |
| Provider Name | Steven C Humphreys |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144225798 PECOS PAC ID: 2466542865 Enrollment ID: I20110630000623 |
| Provider Name | Jason A Lattin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811010630 PECOS PAC ID: 7911065123 Enrollment ID: I20110721000230 |
| Provider Name | Leon Mensch |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881629616 PECOS PAC ID: 1153405931 Enrollment ID: I20111122000884 |
| Provider Name | Robert L Ledda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487712360 PECOS PAC ID: 8527225168 Enrollment ID: I20120208001031 |
| Provider Name | Rachel P Neuendorf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134475296 PECOS PAC ID: 9830345453 Enrollment ID: I20120814000001 |
| Provider Name | Michael Blake |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588855803 PECOS PAC ID: 9638204860 Enrollment ID: I20121017000104 |
| Provider Name | Lindsay B Cobb |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750581914 PECOS PAC ID: 2769658335 Enrollment ID: I20121029000386 |
| Provider Name | Jennifer Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215971387 PECOS PAC ID: 8921068693 Enrollment ID: I20121221000164 |
| Provider Name | Gail Michelle Pokorney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588980445 PECOS PAC ID: 2264674308 Enrollment ID: I20130820000327 |
| Provider Name | Mark J Simonson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194827998 PECOS PAC ID: 2466351077 Enrollment ID: I20140509000272 |
| Provider Name | Andrew J Butki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568774008 PECOS PAC ID: 4385808088 Enrollment ID: I20140714002470 |
| Provider Name | Sarah H Godsey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063706620 PECOS PAC ID: 5698932283 Enrollment ID: I20140826002975 |
| Provider Name | Robert Evan Cadoff |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821086927 PECOS PAC ID: 0042280372 Enrollment ID: I20141114001461 |
| Provider Name | Tamara Lafrancois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174670269 PECOS PAC ID: 5092974154 Enrollment ID: I20150116002138 |
| Provider Name | Jessica L Sieling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962757120 PECOS PAC ID: 3678887163 Enrollment ID: I20150728004837 |
| Provider Name | Jesse Sandoval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972552271 PECOS PAC ID: 9739168345 Enrollment ID: I20160407002168 |
| Provider Name | Peter I Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700866126 PECOS PAC ID: 2668543794 Enrollment ID: I20160614001602 |
| Provider Name | Aaron M Wonnacott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083059448 PECOS PAC ID: 2961797097 Enrollment ID: I20160829000284 |
| Provider Name | Theresa C Chihuly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003260167 PECOS PAC ID: 1052606001 Enrollment ID: I20160830000865 |
| Provider Name | Kristina D Lacy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699119016 PECOS PAC ID: 5496041998 Enrollment ID: I20160909000777 |
| Provider Name | Sarah Fryberger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366548935 PECOS PAC ID: 7517993140 Enrollment ID: I20160909001251 |
| Provider Name | Amanda Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023565751 PECOS PAC ID: 8628366358 Enrollment ID: I20161013000834 |
| Provider Name | John Andreshak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740270792 PECOS PAC ID: 8325075096 Enrollment ID: I20170517002824 |
| Provider Name | Musaberk Goksel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174576490 PECOS PAC ID: 5890747836 Enrollment ID: I20170707002750 |
| Provider Name | Michael Reyes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376559963 PECOS PAC ID: 2264454602 Enrollment ID: I20170712003395 |
| Provider Name | Jeffrey R Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699037440 PECOS PAC ID: 7416264338 Enrollment ID: I20171003005348 |
| Provider Name | Lori Kristine Lindsay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992871453 PECOS PAC ID: 2466647946 Enrollment ID: I20171122002410 |
| Provider Name | Bill Hoon Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255438727 PECOS PAC ID: 4082660766 Enrollment ID: I20180112000716 |
| Provider Name | Solomon M Pearce |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922161173 PECOS PAC ID: 2264657766 Enrollment ID: I20180125000757 |
| Provider Name | Devin T Burrup |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558603084 PECOS PAC ID: 9739317066 Enrollment ID: I20180228003141 |
| Provider Name | David A Rankine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851349989 PECOS PAC ID: 3577512938 Enrollment ID: I20180328001720 |
| Provider Name | Eli Hahn Lessard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184967762 PECOS PAC ID: 4284908898 Enrollment ID: I20180705002702 |
| Provider Name | Christopher J Beaudoin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710306410 PECOS PAC ID: 5991095382 Enrollment ID: I20190318001049 |
| Provider Name | Stacy L Newbern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386020352 PECOS PAC ID: 9436499910 Enrollment ID: I20190320000292 |
| Provider Name | Marcia Mankin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881162303 PECOS PAC ID: 8325388804 Enrollment ID: I20190320000353 |
| Provider Name | Michael E. Carley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225053622 PECOS PAC ID: 7416910898 Enrollment ID: I20190321001860 |
| Provider Name | Samuel S Adams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306285630 PECOS PAC ID: 4284932724 Enrollment ID: I20191008000424 |
| Provider Name | Megan U Roosen-runge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245624204 PECOS PAC ID: 1658682331 Enrollment ID: I20191122001078 |
| Provider Name | Nicholas James Josten |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164817979 PECOS PAC ID: 9335451079 Enrollment ID: I20191218002517 |
| Provider Name | Sarah A Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386206647 PECOS PAC ID: 8123357878 Enrollment ID: I20200310001335 |
| Provider Name | Aaron Humphreys |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013920248 PECOS PAC ID: 7618923137 Enrollment ID: I20200821002019 |
| Provider Name | Samantha Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841705860 PECOS PAC ID: 0547529067 Enrollment ID: I20201002002105 |
| Provider Name | Matthew J May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306195102 PECOS PAC ID: 3971914748 Enrollment ID: I20201130001806 |
| Provider Name | Dana L Oswald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124683636 PECOS PAC ID: 0840528535 Enrollment ID: I20201202000200 |
| Provider Name | Sean D Kalagher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972715282 PECOS PAC ID: 4587810189 Enrollment ID: I20210420002697 |
| Provider Name | David C Blood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710097001 PECOS PAC ID: 7113828278 Enrollment ID: I20210917001758 |
| Provider Name | Steven A Ferrell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346632361 PECOS PAC ID: 0749605566 Enrollment ID: I20211027001726 |
| Provider Name | Alexander J Adami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780180968 PECOS PAC ID: 0648526087 Enrollment ID: I20211108002108 |
| Provider Name | Nathaniel Guy Jimenez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639539596 PECOS PAC ID: 6608162938 Enrollment ID: I20211117002452 |
| Provider Name | Luke Harris Porsi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215125117 PECOS PAC ID: 5799176327 Enrollment ID: I20211215001813 |
| Provider Name | Jasmine A Neeno |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245734227 PECOS PAC ID: 8820483639 Enrollment ID: I20220314001821 |
| Provider Name | Jesse P Wray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679076988 PECOS PAC ID: 7517362858 Enrollment ID: I20220315001200 |
| Provider Name | Nissa Loving Kisler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457837486 PECOS PAC ID: 0648501387 Enrollment ID: I20220419001417 |
| Provider Name | Magalie Nadine Grant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619234085 PECOS PAC ID: 7618117094 Enrollment ID: I20220712000908 |
| Provider Name | Pamela Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912370347 PECOS PAC ID: 2365743929 Enrollment ID: I20220721002057 |
| Provider Name | Matthew James Joo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447791678 PECOS PAC ID: 0244610996 Enrollment ID: I20220823001144 |
| Provider Name | Jason Eric Wallentine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154884328 PECOS PAC ID: 9335535129 Enrollment ID: I20220826001520 |
| Provider Name | Jefferson Wasson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043771207 PECOS PAC ID: 9830568690 Enrollment ID: I20221217000181 |
| Provider Name | Rachelle Ann Blanc |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972064145 PECOS PAC ID: 0840684247 Enrollment ID: I20221217000198 |
| Provider Name | Jeremy Serreyn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194286880 PECOS PAC ID: 1254666944 Enrollment ID: I20230203002437 |
| Provider Name | Walter Burt Grenell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669714994 PECOS PAC ID: 9830484476 Enrollment ID: I20230208000641 |
| Provider Name | Kelly N Stinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104130178 PECOS PAC ID: 9739318726 Enrollment ID: I20230301002386 |
| Provider Name | Venkata Durga Prasad Diddi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720499825 PECOS PAC ID: 8123334141 Enrollment ID: I20230302001040 |
| Provider Name | Stefani Nike Parrisbalogun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083873673 PECOS PAC ID: 2567524408 Enrollment ID: I20230308002018 |
| Provider Name | Ali Samee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871909333 PECOS PAC ID: 6800136169 Enrollment ID: I20230317000369 |
| Provider Name | Andre Gilbert |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639110885 PECOS PAC ID: 4082669361 Enrollment ID: I20230426000258 |
| Provider Name | Saviour Kelechi Achilike |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033506688 PECOS PAC ID: 9032440433 Enrollment ID: I20230614001300 |
| Provider Name | Palak Dwarkesh Parikh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295909331 PECOS PAC ID: 2668629205 Enrollment ID: I20230614002517 |
| Provider Name | Chalita Charles Atallah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265731418 PECOS PAC ID: 9638478589 Enrollment ID: I20230614002831 |
| Provider Name | Usha Aryal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073712287 PECOS PAC ID: 2163657362 Enrollment ID: I20230614003064 |
| Provider Name | Karen Lea Skjei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710995220 PECOS PAC ID: 7719982115 Enrollment ID: I20230627003137 |
| Provider Name | Brian Lee Uhlir |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093031874 PECOS PAC ID: 6103958152 Enrollment ID: I20230628002858 |
| Provider Name | Cory Deon Jones |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881120038 PECOS PAC ID: 1355619347 Enrollment ID: I20230731003216 |
| Provider Name | Joseph Ray Daniel Knight |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568923845 PECOS PAC ID: 0143554352 Enrollment ID: I20230807001293 |
| Provider Name | Steven J Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306160031 PECOS PAC ID: 1254649353 Enrollment ID: I20230918000991 |
| Provider Name | Lori D Arney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831461938 PECOS PAC ID: 4688997109 Enrollment ID: I20231219002431 |
| Provider Name | David Stuart Eilender |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700823705 PECOS PAC ID: 2961414222 Enrollment ID: I20231222002913 |
| Provider Name | Michael K Visick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225048648 PECOS PAC ID: 5991878134 Enrollment ID: I20231228003645 |
| Provider Name | John Christopher Wuellner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710241567 PECOS PAC ID: 6305164237 Enrollment ID: I20240205004193 |
| Provider Name | Andrew Garret Shacklett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114366820 PECOS PAC ID: 6204063563 Enrollment ID: I20240213003571 |
| Provider Name | Julia Mason Mason Jubb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356018881 PECOS PAC ID: 1759771777 Enrollment ID: I20240219001988 |
| Provider Name | Michael Sydenham Clarke |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114248879 PECOS PAC ID: 7517278237 Enrollment ID: I20240227000934 |
| Provider Name | Heather R Beyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962870790 PECOS PAC ID: 8820307937 Enrollment ID: I20240304003516 |
| Provider Name | Michelle Louise Stratton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588050926 PECOS PAC ID: 3072834498 Enrollment ID: I20240320003046 |
| Provider Name | Naomi E Arenson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033102546 PECOS PAC ID: 4284662545 Enrollment ID: I20240613004008 |
| Provider Name | Erik Morgan Berger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003120502 PECOS PAC ID: 5496976342 Enrollment ID: I20240808003121 |
| Provider Name | Jordan Paul Pearce |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386139350 PECOS PAC ID: 4082958368 Enrollment ID: I20240813003448 |
| Provider Name | Anne Oliver Mcdonough |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194353797 PECOS PAC ID: 1759799836 Enrollment ID: I20240829003940 |
| Provider Name | Michelle Elizabeth Moyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407485774 PECOS PAC ID: 7416497268 Enrollment ID: I20240909000985 |
| Provider Name | Mckinsey Mason Pillsbury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265060065 PECOS PAC ID: 8921401662 Enrollment ID: I20240911003716 |
| Provider Name | Claudia Skieller Thomas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538588629 PECOS PAC ID: 9830415488 Enrollment ID: I20240912001477 |
| Provider Name | James Robert Bauman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003495961 PECOS PAC ID: 0143620351 Enrollment ID: I20240923001580 |
| Provider Name | Samantha Anne Niesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982446928 PECOS PAC ID: 6103367610 Enrollment ID: I20240924004796 |
| Provider Name | Emily Grace Saliga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528640877 PECOS PAC ID: 6103358775 Enrollment ID: I20241021002769 |
| Provider Name | Ryan Michael Saliga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790367043 PECOS PAC ID: 3173055696 Enrollment ID: I20241022001263 |
| Provider Name | Taylor Travers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104454024 PECOS PAC ID: 1557791654 Enrollment ID: I20241029003895 |
| Provider Name | Lynn G Lindsay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336249432 PECOS PAC ID: 2668651936 Enrollment ID: I20250224001986 |
| Provider Name | Leslie Erin Bonnet |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013379700 PECOS PAC ID: 9335490689 Enrollment ID: I20250429000530 |
| Provider Name | Kelly Christine Mead |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982135539 PECOS PAC ID: 2062783228 Enrollment ID: I20250529000498 |
Foundations Family Resource Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 35251 Kenai Spur Hwy Ste C, Soldotna, AK 99669 Phone: 907-252-9082 | |
Central Peninsula General Hospital, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 354 Tyee St, Soldotna, AK 99669 Phone: 907-714-5870 | |
Alaska Counseling And Wellness Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Smith Way Ste 205, Soldotna, AK 99669 Phone: 907-420-0614 | |
Transformation Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 44539 Sterling Hwy Ste 206, Soldotna, AK 99669 Phone: 541-801-3730 | |
Peninsula Community Health Services Of Alaska, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 E Marydale Ave, Soldotna, AK 99669 Phone: 907-262-3119 Fax: 907-262-9290 | |
Northern Psychology Resources Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 47294 Progress Ct Ste C, Soldotna, AK 99669 Phone: 907-262-4470 Fax: 907-262-4469 | |
New Hope Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 35109 Royal Pl, Soldotna, AK 99669 Phone: 907-260-7423 Fax: 907-260-6722 |