Eileen Karen Sverdrup, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2784 Issued in AK

Practice address

43977 Sterling Hwy
Ste G
Soldotna, AK 99669-8028

Phone

(907) 262-7201

Fax

(907) 260-5392

NPI assigned

Nov 30, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1063496313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43977 STERLING HWY",
            "address_2": "STE G",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996698028",
            "telephone_number": "907-262-7201",
            "fax_number": "907-260-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43977 STERLING HWY",
            "address_2": "STE G",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996698028",
            "telephone_number": "907-262-7201",
            "fax_number": "907-260-5392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVERDRUP",
        "first_name": "EILEEN",
        "middle_name": "KAREN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AK",
            "license": "2784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD00611",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trina Louise Sugg, LMT
• Kellli Sullivan
• Stacey Lee Sutherlin, LPN
• Christina Marie Svec
• Pierce James Svec
• Kaitlyn Nicole Svopa, DPT
• Swiftwater Dermatology
• Katie Tallent Maxwell, LMT
• Brittany Maurine Taylor
• Rose M Taylor

• Internal Medicine Physician in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Internal Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.