Ellen Lorraine Kemper, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5943 Issued in AK

Practice address

7300 Klawock Hollis Highway
Klawock, AK 99925

Phone

(907) 755-4800

Fax

(907) 755-4981

NPI assigned

Dec 15, 2005

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• David C Wynecoop Memorial Clinic DHHS IHS Wellpinit Service Unit

  • Clinic/Center
  • Wellpinit, WA
  • NPI 1316034580
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 25, 2007.

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1457337115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "CRAIG",
            "state": "AK",
            "postal_code": "99921",
            "telephone_number": "907-826-2235",
            "fax_number": "907-755-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 KLAWOCK HOLLIS HIGHWAY",
            "city": "KLAWOCK",
            "state": "AK",
            "postal_code": "99925",
            "telephone_number": "907-755-4800",
            "fax_number": "907-755-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPER",
        "first_name": "ELLEN",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M5212",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "5943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "35077",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD6258",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn Haseltine
• Madison Elizabeth Heppe
• Diane Ella Hill, PA-C
• Chelsie Dawn Hobart, PDHA I
• Tammy Jackson
• Daniel Bernard Kennedy, DHAT
• Brenda Leask
• Eva Maloney
• Victoria Mann, RN
• Felicia McAuley

• All providers in Klawock, AK
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.