KETCHIKAN MEDICAL CENTER – NPI #1801965736
Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
KETCHIKAN MEDICAL CENTER is a radiologist located in KETCHIKAN, AK. NPPES has assigned the NPI number 1801965736 to KETCHIKAN MEDICAL CENTER on November 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KETCHIKAN MEDICAL CENTER” is a dba name, the actual legal business name for this organization is PEACEHEALTH. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology Please note, simply having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 15 years ago on Aug 31, 2011. 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 KETCHIKAN MEDICAL CENTER below.
NPI Profile for
PEACEHEALTH
(more than 19 years ago)
KETCHIKAN, AK 99901-5746 Phone: (907) 228-8300 Fax: (907) 228-8518
BELLINGHAM, WA 98227-1798 Phone: (360) 734-5400 Fax: (360) 715-6552
CEO
Phone: (907) 228-8300
Identifiers for KETCHIKAN MEDICAL CENTER
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | AETNA CLINIC PRO# | AK | 7695464 |
| OTHER | AETNA HOSPITAL PRO# | AK | 6110165 |
| MEDICAID | AK | MDG235 |
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 |
|---|---|---|
| 2085R0202X - Radiology / Diagnostic Radiology (Primary) |
AK | NO NUMBERS ISSUED |
| 367500000X - Nurse Anesthetist, Certified Registered |
AK | |
| 208600000X - Surgery |
AK | NO NUMBERS ISSUED |
| 2084P0800X - Psychiatry & Neurology / Psychiatry |
AK | NO NUMBERS ISSUED |
| 208000000X - Pediatrics |
AK | NO NUMBERS ISSUED |
| 207ZP0102X - Pathology / Anatomic Pathology & Clinical Pathology |
AK | NO NUMBERS ISSUED |
| 207X00000X - Orthopaedic Surgery |
AK | NO NUMBERS ISSUED |
| 207V00000X - Obstetrics & Gynecology |
AK | |
| 207RS0012X - Internal Medicine / Sleep Medicine |
AK | |
| 207R00000X - Internal Medicine |
AK | |
| 207Q00000X - Family Medicine |
AK | |
| 207P00000X - Emergency Medicine |
AK | |
| 207L00000X - Anesthesiology |
AK | |
| 176B00000X - Midwife |
AK |
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.