NPIMap

Organization Active NPI

Katmai Professional Services Group, LLC

  • Nephrology Physician
  • Anchorage, AK
National Provider Identifier
1649601279
Registry record updated Aug 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
997150 Issued in AK
Legal business name
KATMAI PROFESSIONAL SERVICES GROUP, LLC
Practice address
1120 Huffman Rd
Suite 24-691
Anchorage, AK 99515-3516
Phone
(907) 830-9506
NPI assigned
Dec 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2022

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

Authorized official

Name
Dr. David M Lefler Jr., DO
Title
Owner
Phone
(907) 570-2899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 997150 AK Primary

Addresses

Primary practice location

1120 Huffman Rd
Suite 24-691
Anchorage, AK 99515-3516

Mailing address

1120 Huffman Rd
Suite 24-691
Anchorage, AK 99515-3516
Phone (907) 830-9506

National Provider Directory

National Provider Directory

Locations

1120 Huffman Rd
Ste 24691
Anchorage, AK 99515
Phone (907) 770-0412

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1386460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660435200000",
    "number": "1649601279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 HUFFMAN RD",
            "address_2": "SUITE 24-691",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153516",
            "telephone_number": "907-830-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 HUFFMAN RD",
            "address_2": "SUITE 24-691",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153516",
            "telephone_number": "907-830-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATMAI PROFESSIONAL SERVICES GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-08",
        "last_updated": "2022-08-14",
        "certification_date": "2022-03-26",
        "status": "A",
        "authorized_official_last_name": "LEFLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-570-2899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "AK",
            "license": "997150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; 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.