CENTRAL PENINSULA GASTROENTEROLOGY – NPI #1154194819
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Health Care Provider Taxonomy Code for Internal Medicine

CENTRAL PENINSULA GASTROENTEROLOGY is a provider located in SOLDOTNA, AK. NPPES has assigned the NPI number 1154194819 to CENTRAL PENINSULA GASTROENTEROLOGY on November 03, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTRAL PENINSULA GASTROENTEROLOGY” is a dba name, the actual legal business name for this organization is CENTRAL PENINSULA GENERAL HOSPITAL, INC. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 2 years ago on Jan 16, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTRAL PENINSULA GASTROENTEROLOGY below.

NPI Profile for
CENTRAL PENINSULA GENERAL HOSPITAL, INC

NPI Number
1154194819
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTRAL PENINSULA GENERAL HOSPITAL, INC
Doing Business As (dba): CENTRAL PENINSULA GASTROENTEROLOGY
Primary location
240 HOSPITAL PL
SOLDOTNA, AK 99669-7559
Phone: (907) 714-6120 Fax: (907) 416-7683
Mailing address
250 HOSPITAL PL
SOLDOTNA, AK 99669-7559
Phone: (907) 714-6120 Fax: (907) 416-7683
Organization Subpart
Yes - CENTRAL PENINSULA GASTROENTEROLOGY is subpart of another organization.
Authorized Official
MICHAEL HAGGERTY
CFO
Phone: (907) 714-4722
Updated
Certification Date
Jan 16, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
CLINIC DIRECT MESSAGING ADDRESS
Content Type
Affiliation
N
Endpoint Location
240 HOSPITAL PL,
SOLDOTNA, AK 77025-1669