CENTRAL PENINSULA UROLOGY – NPI #1275948424
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Health Care Provider Taxonomy Code for Urology

CENTRAL PENINSULA UROLOGY is an urologist located in SOLDOTNA, AK. NPPES has assigned the NPI number 1275948424 to CENTRAL PENINSULA UROLOGY on June 26, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTRAL PENINSULA UROLOGY” is a dba name, the actual legal business name for this organization is CENTRAL PENINSULA GENERAL HOSPITAL, INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 6 years ago on Dec 07, 2020. 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 UROLOGY below.

NPI Profile for
CENTRAL PENINSULA GENERAL HOSPITAL, INC

NPI Number
1275948424
Enumeration Date

(about 12 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 UROLOGY
Primary location
240 HOSPITAL PL
STE 303A
SOLDOTNA, AK 99669-7559
Phone: (907) 714-4404 Fax:
Mailing address
250 HOSPITAL PL
SOLDOTNA, AK 99669-7559
Phone: Fax:
Organization Subpart
Yes - CENTRAL PENINSULA UROLOGY is subpart of another organization.
Authorized Official
RICHARD DAVIS
CEO
Phone: (907) 714-4723
Updated
Certification Date
Dec 07, 2020

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
208800000X
- Urology (Primary)
282NR1301X
- General Acute Care Hospital / Rural		 AK GACH-003

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
cc_acp_rt_urology_clinical_support_staff1225679@ak.providencedirect.org
Endpoint type
Direct Messaging Address
Endpoint Description
CENTRAL PENINSULA UROLOGY CLINICAL SUPPORT STAFF
Content Type
Affiliation
N
Endpoint Location
240 HOSPITAL PL,
SOLDOTNA, AK 77025-1669