Eugene Thomas Pryka, INDEPENDENT DUTY HS

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

500A Sentinel Island Ave
Kodiak, AK 99615-6849

Phone

(602) 570-8173

NPI assigned

Sep 23, 2021

Last updated

Sep 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

High School Graduate

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1235800749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500A SENTINEL ISLAND AVE",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156849",
            "telephone_number": "602-570-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500A SENTINEL ISLAND AVE",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156849",
            "telephone_number": "602-570-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYKA",
        "first_name": "EUGENE",
        "middle_name": "THOMAS",
        "credential": "INDEPENDENT DUTY HS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "D03353518",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "eugene.t.pryka@uscg.mil",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "500A Sentinel Island Ave",
            "city": "Kodiak",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996156849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Providence Health & Services Washington (Providence Kodiak Island Medical Center)
• Providence Health & Services Washington (Providence Kodiak Island Medical Center)
• Providence Kodiak Island Counseling Center
• Providence Kodiak Island Counseling Center
• Providence Kodiak Medical Center
• Aliitasi Pesio Puckett, HEALTH SERVICES TECH
• Penny K Puhak, ETC
• Elizabeth M Pyanowski, RN
• Megan Nicole Pyles
• Carrie MD Randolph, DDS

• Independent Duty Corpsman in Kodiak, AK
• Providers in Kodiak, AK by specialty
• Independent Duty Corpsman in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.