Peninsula Surgery and Aesthetics

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

2272 Issued in AK

Legal business name

PENINSULA SURGERY AND AESTHETICS

Practice address

104 E Fairview Ave
Homer, AK 99603-7546

Phone

(907) 299-0737

NPI assigned

Mar 1, 2016

Organization subpart

No

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

Authorized official

Name

Suzanne Renee Singer

Title

Owner

Phone

(907) 299-0737

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1467812693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1862",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996031862",
            "telephone_number": "907-299-0737"
        },
        {
            "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": "907-299-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA SURGERY AND AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "SINGER",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-299-0737"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "AK",
            "license": "2272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob C Owens, DMD
• Savanna Paladino
• Brian Partridge
• Paul Sayer M.D. Prof Corp
• Laura L Peek, RN
• Peninsula Surgical Clinic PC
• Joseph Earl Perkins
• Andrew Peter, O.D.
• Lei Phillips
• Aidan Blake Philpot, DPT

• Endoscopy Clinic/Center in Homer, AK
• Providers in Homer, AK by specialty
• Endoscopy Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.