KETCHIKAN MEDICAL CENTER
NPI 1801965736
Radiology - Diagnostic Radiology in Ketchikan, AK
NPI Status: Active since November 07, 2006
Contact Information
3100 TONGASS AVE
KETCHIKAN, AK
ZIP 99901
Phone: (907) 228-8300
Fax: (907) 228-8518
- Organization
- Radiology
- Diagnostic Radiology
- Accepts Insurance
About KETCHIKAN MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Ketchikan Medical Center, a provider established in Ketchikan, Alaska operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1801965736 assigned on November 2006. The practitioner's primary taxonomy code is 2085R0202X with license number NO NUMBERS ISSUED (AK). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Ketchikan Medical Center. The authorized official of this NPI record is Patrick J Branco (Ceo)
- NPI
- 1801965736
- Provider Legal Name
- PEACEHEALTH
- Other Organization Name
- KETCHIKAN MEDICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3100 TONGASS AVE KETCHIKAN, AK 99901
- Location Phone
- (907) 228-8300
- Location Fax
- (907) 228-8518
- Mailing Address
- PO BOX 1798 BELLINGHAM, WA 98227
- Mailing Phone
- (360) 734-5400
- Mailing Fax
- (907) 228-8518
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-07-2006
- Last Update Date
- 08-31-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- NO NUMBERS ISSUED
- License State
- AK
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 176B00000X | Other Service Providers | Midwife | (AK) |
| 2 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | (AK) |
| 3 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | (AK) |
| 4 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | (AK) |
| 5 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | (AK) |
| 6 | 207RS0012X | Allopathic & Osteopathic Physicians | Internal Medicine | (AK) |
| 7 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | (AK) |
| 8 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | NO NUMBERS ISSUED (AK) |
| 9 | 207ZP0102X | Allopathic & Osteopathic Physicians | Pathology | NO NUMBERS ISSUED (AK) |
| 10 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | NO NUMBERS ISSUED (AK) |
| 11 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | NO NUMBERS ISSUED (AK) |
| 12 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | NO NUMBERS ISSUED (AK) |
| 13 | 367500000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered | (AK) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Pioneer Alaska Standard Bronze - PPO
- Moda Pioneer Alaska Standard Gold - PPO
- Moda Pioneer Alaska Standard Silver - PPO
- Moda Pioneer Bronze 6500 - PPO
- Moda Pioneer Bronze HDHP 5500 - PPO
- Moda Pioneer Gold 1500 - PPO
- Moda Pioneer Silver 4500 - PPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6110165 | OTHER (01) | AK | AETNA HOSPITAL PRO# |
| K0000ZBBBL | MEDICARE PIN (08) | AK | |
| MDG235 | MEDICAID (05) | AK | |
| 7695464 | OTHER (01) | AK | AETNA CLINIC PRO# |
Reviews for KETCHIKAN MEDICAL CENTER
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 0 | 1 | 9 | 6 | 5 | 7 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 0 | 1 | 18 | 6 | 10 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 0 + 1 + 1 + 8 + 6 + 1 + 0 + 7 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1801965736 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1164428371 | DR. KARL E. RICHEY M.D. Individual | Emergency Medicine | 3100 TONGASS AVE KETCHIKAN, AK 99901 (907) 225-5171 |
| 1386632347 | JOHN C SCHWARTZ MD Individual | Orthopaedic Surgery | 3100 TONGASS AVE KETCHIKAN, AK 99901 (907) 228-8111 |
| 1003899139 | CAREY LYNN MARTIN CRNA Individual | Nurse Anesthetist, Certified Registered | 3100 TONGASS AVE KETCHIKAN, AK 99901 (907) 228-7634 |
| 1770552994 | DR. ERNEST MELOCHE MD Individual | Emergency Medicine | 3100 TONGASS AVE KETCHIKAN GENERAL HOSPITAL ER KETCHIKAN, AK 99901 (907) 617-5111 |
| 1396705539 | PEACEHEALTH Organization | General Acute Care Hospital (Critical Access) | 3100 TONGASS AVE KETCHIKAN, AK 99901 (907) 228-8300 |
| 1003872748 | SCOTT MYERS KIRCHNER MD Individual | Emergency Medicine | 3100 TONGASS AVE KETCHIKAN, AK 99901 (907) 225-5171 |
| 1104860261 | DR. JOHN E. VARALLO MD, MPH Individual | Obstetrics & Gynecology | 3100 TONGASS AVE KETCHIKAN, AK 99901 (907) 228-8300 |
| 1851336176 | PEACEHEALTH Organization | Skilled Nursing Facility | 3100 TONGASS AVE KETCHIKAN, AK 99901 (907) 228-8300 |
| 1073559548 | JANIS A ROTTSCHAFER CRNA Individual | Nurse Anesthetist, Certified Registered | 3100 TONGASS AVE KETCHIKAN, AK 99901 (907) 228-8300 |
| 1790711992 | ANDREW D PANKOW MD Individual | Family Medicine | 3100 TONGASS AVE KETCHIKAN, AK 99901 (907) 228-8140 |
| 1407887763 | DIANE L LILJEGREN MD Individual | Family Medicine | 3100 TONGASS AVE KETCHIKAN, AK 99901 (907) 228-8140 |
| 1891726659 | JOHN G ROSENFELD MD Individual | Pediatrics | 3100 TONGASS AVE KETCHIKAN, AK 99901 (907) 225-4463 |
| 1548291396 | PETER E RICE MD Individual | Internal Medicine | 3100 TONGASS AVE KETCHIKAN, AK 99901 (907) 225-4104 |
| 1083715262 | SOUTHEAST UROLOGY CLINIC A PC Organization | Urology | 3100 TONGASS AVE KETCHIKAN, AK 99901 (907) 225-1896 |
| 1992874002 | REBECCA E SHERN R.D. Individual | Dietitian, Registered | 3100 TONGASS AVE KETCHIKAN, AK 99901 (907) 228-8300 |
| 1396803763 | DAVID ELLSWORTH JOHNSON M.D. Individual | Pediatrics | 3100 TONGASS AVE KETCHIKAN, AK 99901 (907) 225-4463 |
| 1932263043 | MARTA G POORE ANP Individual | Nurse Practitioner (Obstetrics & Gynecology) | 3100 TONGASS AVE KETCHIKAN, AK 99901 (907) 228-7688 |
| 1790803245 | SUSAN A PETERS CRNA Individual | Nurse Anesthetist, Certified Registered | 3100 TONGASS AVE KETCHIKAN, AK 99901 (907) 228-8300 |
| 1922205582 | DR. GREGG MCNEIL MD Individual | Internal Medicine | 3100 TONGASS AVE KETCHIKAN, AK 99901 (907) 228-8140 |
| 1770752503 | RONALD A WEISNER MD Individual | Psychiatry & Neurology (Psychiatry) | 3100 TONGASS AVE KETCHIKAN, AK 99901 (907) 228-7660 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801965736, enumerated in the NPI registry as an "organization" on November 07, 2006
The provider is located at 3100 Tongass Ave Ketchikan, Ak 99901 and the phone number is (907) 228-8300
This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
The provider might be accepting Accepts: Moda Health Plan, Inc., Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on November 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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