Active NPI
Samuel Herman Schurig, D.O.
- Family Medicine Physician
- Kenai, AK
National Provider Identifier
1043496268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- AA 1967
- Practice address
- 10543 Kenai Spur Highway
Kenai, AK 99611 - Phone
- (907) 283-9118
- Fax
- (907) 335-2460
- NPI assigned
- Jan 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | AA 1967 | AK | Primary |
Addresses
Primary practice location
10543 Kenai Spur Highway
Kenai, AK 99611
Mailing address
PO Box 240
Kenai, AK 99611-0240
Phone (907) 283-9118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA 1967 | AK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olga Iris Wasile | Past | Accepting new patients | |
| Peters Creek Medical Solutions LLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Chugiak, AK
- NPI 1134258247
-
- Family Medicine Physician
- Chugiak, AK
- NPI 1245541143
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218585600000",
"number": "1043496268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 240",
"city": "KENAI",
"state": "AK",
"postal_code": "996110240",
"telephone_number": "907-283-9118",
"fax_number": "907-335-2460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10543 KENAI SPUR HIGHWAY",
"city": "KENAI",
"state": "AK",
"postal_code": "99611",
"telephone_number": "907-283-9118",
"fax_number": "907-335-2460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHURIG",
"first_name": "SAMUEL",
"middle_name": "HERMAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-17",
"last_updated": "2008-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "AA 1967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenai, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.