Peninsula Surgical Solutions, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

119577 Issued in AK

Legal business name

PENINSULA SURGICAL SOLUTIONS, LLC

Practice address

254 N Binkley St
Soldotna, AK 99669-7522

Phone

(907) 260-7776

Fax

(907) 260-7782

NPI assigned

Feb 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. David Anthony King, M.D.

Title

Physician/Owner

Phone

(907) 260-7776

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1649419508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 N BINKLEY ST",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697522",
            "telephone_number": "907-260-7776",
            "fax_number": "907-260-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 N BINKLEY ST",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697522",
            "telephone_number": "907-260-7776",
            "fax_number": "907-260-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA SURGICAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-16",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "907-260-7776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AK",
            "license": "119577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDG150",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peninsula Hearing Services, Inc.
• Peninsula Instacare
• Peninsula Internal Medicine PC
• Peninsula Neurology LLC
• Peninsula Preferred Home Health Corp
• Pedro E Perez, M.D.
• Charles George Perkins, MD
• Lyla Annette Perkins
• Amanda L Perry
• Rhonda Lynn Perry, LMT

• Surgery Physician in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Surgery Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.