North Pacific Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTH PACIFIC MEDICAL CENTER

Practice address

104 Center Ave
Ste 100
Kodiak, AK 99615

Phone

(907) 486-4183

Fax

(907) 486-4233

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Loren Dean Halter, DO

Title

President

Phone

(907) 486-4183

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Dorianne Emily Williams, FNP

  • Family Nurse Practitioner
  • Kodiak, AK
  • NPI 1992080139
  Medicare reassignment Care Compare group NPD
• Kevin Creelman, M.D

  • Family Medicine Physician
  • Kodiak, AK
  • NPI 1538205307
  Medicare reassignment Care Compare group
• Marciano David Bautista, D.O.

  • Family Medicine Physician
  • Glennallen, AK
  • NPI 1114078995
  NPD (past)
• Scott Myers Kirchner, MD

  • Internal Medicine Physician
  • Ketchikan, AK
  • NPI 1003872748
  NPD (past)
• Thomas Hugh Solenberger, MD

  • Family Medicine Physician
  • Kodiak, AK
  • NPI 1386765618
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1225106263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CENTER AVE",
            "address_2": "STE 100",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "99615",
            "telephone_number": "907-486-4183",
            "fax_number": "907-486-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CENTER AVE",
            "address_2": "STE 100",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "99615",
            "telephone_number": "907-486-4183",
            "fax_number": "907-486-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PACIFIC MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "HALTER",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-486-4183",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0124",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD1326",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD1532",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Ruth Nelson
• Anthony Nevin
• Jennifer M Newman
• Maria N Ngethe
• Kevin Joseph Nolan, M.D.
• Kathleen Nussbaum, ANP
• Cristin Moira O'Grady, MD
• Shannon O'Neal
• Amy G. Ogrinc, DENTAL ASSISTANT
• Elaine Loomis Olsen, LMSW

• Family Medicine Physician in Kodiak, AK
• Providers in Kodiak, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.