NPIMap

Organization Active NPI

Salmon Creek Surgery

  • Ambulatory Surgical Clinic/Center
  • Juneau, AK
National Provider Identifier
1891812103
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SALMON CREEK SURGERY
Practice address
3225 Hospital Dr
Suite 102
Juneau, AK 99801
Phone
(907) 586-3068
NPI assigned
Mar 23, 2007
Last updated
Nov 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Kimberly Park Dostal, CNPNPI 1477692838
Title
Manager
Phone
(907) 586-3068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

3225 Hospital Dr
Suite 102
Juneau, AK 99801

Mailing address

3225 Hospital Dr
Suite 102
Juneau, AK 99801
Phone (907) 586-3068

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1891812103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 HOSPITAL DR",
            "address_2": "SUITE 102",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "99801",
            "telephone_number": "907-586-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 HOSPITAL DR",
            "address_2": "SUITE 102",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "99801",
            "telephone_number": "907-586-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALMON CREEK SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "DOSTAL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "PARK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "907-586-3068",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.