Peninsula Ear, Nose & Throat Clinic, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

911644 Issued in AK

Legal business name

PENINSULA EAR, NOSE & THROAT CLINIC, INC.

Practice address

220 Spur View Dr
Kenai, AK 99611-6880

Phone

(907) 283-5400

NPI assigned

Feb 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. James Victor Zirul, D.O.NPI 1891894606

Title

Owner

Phone

(907) 283-5400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Practitioners 2

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

• James Victor Zirul, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Kenai, AK
  • NPI 1891894606
  Medicare reassignment NPD Authorized official
• Teresa E Thompson, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Kenai, AK
  • NPI 1124574629
  NPD (past)

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1841469996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SPUR VIEW DR",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996116880",
            "telephone_number": "907-283-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SPUR VIEW DR",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996116880",
            "telephone_number": "907-283-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA EAR, NOSE & THROAT CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "ZIRUL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-283-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AK",
            "license": "911644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Brett Parry, PA-C
• Pathways LLC
• Sabrina L Paxton
• Terry Pearson, LMT
• Peninsula Community Health Services of Alaska, Inc.
• Christian Hasting Pepper I
• Linda May Perry, LCSW
• Lisa Marie Perzechino
• Caitlin Peterson
• Erik Peterson

• Clinic/Center in Kenai, AK
• Providers in Kenai, AK by specialty
• Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.