South Peninsula General Surgery LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

2272 Issued in AK

Legal business name

SOUTH PENINSULA GENERAL SURGERY LLC

Practice address

104 E Fairview Ave
Homer, AK 99603-7546

Phone

(907) 235-1010

Fax

(907) 235-1099

NPI assigned

Mar 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Rene L Alvarez, MD

Title

Owner

Phone

(907) 235-1010

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roger Alan Mason, M.D.

  • Surgery Physician
  • Warren, AR
  • NPI 1508198201
  NPD (past)

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1164745972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3287",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996033287",
            "telephone_number": "907-235-1010",
            "fax_number": "907-235-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E FAIRVIEW AVE",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037546",
            "telephone_number": "907-235-1010",
            "fax_number": "907-235-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PENINSULA GENERAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-235-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AK",
            "license": "2272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Smith
• Sound View Assisted Living, Inc.
• South Peninsula Behavioral Health
• South Peninsula Behavioral Health Services Inc
• South Peninsula Behavioral Health SVCS Inc
• South Peninsula Hospital, Inc
• South Peninsula Hospital, Inc
• South Peninsula Hospital, Inc.
• South Pennisula Hospital Phcy
• Michael J Spencer

• Specialist in Homer, AK
• Providers in Homer, AK by specialty
• Specialist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.