KENAI SPINE – NPI #1497002968
Orthopaedic Surgery

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

KENAI SPINE is an orthopaedic surgeon located in SOLDOTNA, AK. NPPES has assigned the NPI number 1497002968 to KENAI SPINE on August 14, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KENAI SPINE” is a dba name, the actual legal business name for this organization is GRAYLING MEDICAL GROUP LLC. The primary taxonomy selected by this provider is 207XS0117X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine

The NPI profile was previously updated about 5 years ago on Nov 30, 2021. 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 KENAI SPINE below.

NPI Profile for
GRAYLING MEDICAL GROUP LLC

NPI Number
1497002968
Enumeration Date

(about 14 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
GRAYLING MEDICAL GROUP LLC
Doing Business As (dba): KENAI SPINE
Primary location
240 HOSPITAL PLACE
SUITE 103
SOLDOTNA, AK 99669
Phone: (907) 260-5455 Fax: (877) 200-7122
Mailing address
PO BOX 2509
SOLDOTNA, AK 99669
Phone: (907) 260-5455 Fax: (877) 200-7122
Organization Subpart
No
Authorized Official
NICOLE ERB
PRACTICE ADMINISTRATOR
Phone: (907) 714-3117
Updated
Certification Date
Nov 30, 2021

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.

Identifiers

Identifiers for KENAI SPINE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAKMD9678
MEDICAIDAK1580702
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
207XS0117X
- Orthopaedic Surgery / Orthopaedic Surgery of the Spine (Primary)
AK 6826

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.