NPIMap

Organization Active NPI

Benjamin Kennah PA-C

  • Surgical Physician Assistant
  • Anchorage, AK
National Provider Identifier
1134599061
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
103875 Issued in AK
Legal business name
BENJAMIN KENNAH PA-C
Practice address
2741 Debarr Rd Ste C214
Anchorage, AK 99508-2978
Phone
(907) 644-6055
Fax
(907) 644-4885
NPI assigned
Oct 5, 2015
Last updated
Oct 5, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
ORTHOPAEDIC RESEARCH CLINIC OF ALASKAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Mr. Ben L Kennah, PA-C
Title
Provider
Phone
(907) 644-6055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X 103875 AK Primary

Addresses

Primary practice location

2741 Debarr Rd Ste C214
Anchorage, AK 99508-2978

Mailing address

2741 Debarr Rd Ste C214
Anchorage, AK 99508-2978
Phone (907) 644-6055

Other names 1

  • Orthopaedic Research Clinic of Alaska Other name

National Provider Directory

National Provider Directory
Part of
Orthopaedic Research Clinic

Locations

2741 Debarr Rd
Ste C214
Anchorage, AK 99508
Phone (907) 644-6055

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1134599061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE C214",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082978",
            "telephone_number": "907-644-6055",
            "fax_number": "907-644-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE C214",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082978",
            "telephone_number": "907-644-6055",
            "fax_number": "907-644-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN KENNAH PA-C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPAEDIC RESEARCH CLINIC OF ALASKA",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "KENNAH",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "907-644-6055",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "AK",
            "license": "103875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedic Research Clinic of Alaska",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.