Organization Active NPI

South Peninsula Hospital Kenai Clinic

  • Otolaryngology Physician
  • Kenai, AK
National Provider Identifier
1164358529
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
SOUTH PENINSULA HOSPITAL KENAI CLINIC
Practice address
220 Spur View Dr
Kenai, AK 99611-6880
Phone
(907) 235-8101
NPI assigned
Jun 22, 2026
Organization subpart
Yes
Parent organization
SOUTH PENINSULA HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Ryan K Smith
Title
Ceo
Phone
(907) 235-0241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

220 Spur View Dr
Kenai, AK 99611-6880

Mailing address

4300 Bartlett St
Homer, AK 99603-7000

National Provider Directory

National Provider Directory
Tax ID family
South Peninsula Hosp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

220 Spur View Dr
Kenai, AK 99611
Phone (907) 283-5400

NPI Registry JSON

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1164358529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 BARTLETT ST",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SPUR VIEW DR",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996116880",
            "telephone_number": "907-235-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PENINSULA HOSPITAL KENAI CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH PENINSULA HOSPITAL, INC",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-235-0241"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "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 Jun 22, 2026; 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.