Active NPI
South Peninsula Hospital Kenai Clinic
- Otolaryngology Physician
- Kenai, AK
National Provider Identifier
1164358529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- 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, INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 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 Hosp
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Critical Access Hospital
- Homer, AK
- NPI 1093968372
-
- Home Health Agency
- Homer, AK
- NPI 1164400750
-
- Institutional Pharmacy
- Homer, AK
- NPI 1871695270
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.