| Kana | |
|
3449 E Rezanof Dr Kodiak AK 99615-6952 | |
| (907) 486-9800 | |
| (907) 486-9898 |
| Full Name | Kana |
|---|---|
| Speciality | Clinic/Center |
| Location | 3449 E Rezanof Dr, Kodiak, Alaska |
| Authorized Official Name and Position | Mike Pfeffer (CEO) |
| Authorized Official Contact | 9074869800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kana 3449 E Rezanof Dr Kodiak AK 99615-6952 Ph: (907) 486-9800 | Kana 3449 E Rezanof Dr Kodiak AK 99615-6952 Ph: (907) 486-9800 |
| NPI Number | 1679514236 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 02/28/2024 |
| Medicare PECOS PAC ID | 8426959297 |
|---|---|
| Medicare Enrollment ID | O20041004000838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679514236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Lynette R Dziuk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629033527 PECOS PAC ID: 8729986948 Enrollment ID: I20031226000171 |
| Provider Name | Elizabeth D. Ferucci |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1598705121 PECOS PAC ID: 2163418567 Enrollment ID: I20040421001677 |
| Provider Name | Charles C Edwards |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447291067 PECOS PAC ID: 3476448796 Enrollment ID: I20050302000119 |
| Provider Name | Youssef K Barbour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588846042 PECOS PAC ID: 5991888067 Enrollment ID: I20080212000715 |
| Provider Name | Matthew J Schnellbaecher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942233481 PECOS PAC ID: 1557440211 Enrollment ID: I20080506000563 |
| Provider Name | David G Chamberlain |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407895949 PECOS PAC ID: 2062562929 Enrollment ID: I20090615000605 |
| Provider Name | Sam J Chelmo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275794778 PECOS PAC ID: 4385819242 Enrollment ID: I20111205000938 |
| Provider Name | Robert W Davis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932172178 PECOS PAC ID: 7911050810 Enrollment ID: I20131028001588 |
| Provider Name | Laura L Shively |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174797088 PECOS PAC ID: 1254568231 Enrollment ID: I20131219000400 |
| Provider Name | Elise M Pletnikoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598056590 PECOS PAC ID: 4789813387 Enrollment ID: I20140130001541 |
| Provider Name | Christy S Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639349798 PECOS PAC ID: 6507923919 Enrollment ID: I20140614000013 |
| Provider Name | Evan Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275829517 PECOS PAC ID: 8022239524 Enrollment ID: I20141027001765 |
| Provider Name | Matthew S Ubedei |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962681171 PECOS PAC ID: 3971720954 Enrollment ID: I20150710001908 |
| Provider Name | Stephanie Shryock |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437535010 PECOS PAC ID: 8022313741 Enrollment ID: I20160217002268 |
| Provider Name | Derek Jay Bowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871933465 PECOS PAC ID: 9931338894 Enrollment ID: I20160401001563 |
| Provider Name | Sarah M Doaty |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1215254818 PECOS PAC ID: 2668767211 Enrollment ID: I20160823000164 |
| Provider Name | Lilian K Ho |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659798114 PECOS PAC ID: 4981925476 Enrollment ID: I20171020000831 |
| Provider Name | Tirza A Cannon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275842510 PECOS PAC ID: 1759607013 Enrollment ID: I20171107001045 |
| Provider Name | Mark Burkart |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1467829721 PECOS PAC ID: 2163771486 Enrollment ID: I20180821000256 |
| Provider Name | Jacob Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912522012 PECOS PAC ID: 0446672281 Enrollment ID: I20200623003473 |
| Provider Name | Linda G Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356645097 PECOS PAC ID: 3678744398 Enrollment ID: I20200928002463 |
| Provider Name | Katie Jane Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174055644 PECOS PAC ID: 0345518148 Enrollment ID: I20201228001691 |
| Provider Name | Elizabeth Litoff |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437641545 PECOS PAC ID: 7517361751 Enrollment ID: I20210810001237 |
| Provider Name | Jordan S Gardner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467728261 PECOS PAC ID: 5799083168 Enrollment ID: I20211203002255 |
| Provider Name | Rachel C Jermann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699204529 PECOS PAC ID: 3274899687 Enrollment ID: I20220302002442 |
| Provider Name | Alison E Horn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942962170 PECOS PAC ID: 9133514854 Enrollment ID: I20220316001215 |
| Provider Name | Kaytlin Erin Rupert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215356928 PECOS PAC ID: 9335522895 Enrollment ID: I20220816001144 |
| Provider Name | Matthew Markey-crimp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366903171 PECOS PAC ID: 3072842764 Enrollment ID: I20220909001436 |
| Provider Name | Myles Sorokovsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700432762 PECOS PAC ID: 5799112041 Enrollment ID: I20230329000050 |
| Provider Name | Raul Mendez Guevara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235860925 PECOS PAC ID: 7618332123 Enrollment ID: I20230504001831 |
| Provider Name | Adriana Rosas Masi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1922494517 PECOS PAC ID: 6507172897 Enrollment ID: I20231129001838 |
| Provider Name | Shantai Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093112898 PECOS PAC ID: 6507169984 Enrollment ID: I20231218000704 |
| Provider Name | Colby Ray Perez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568970549 PECOS PAC ID: 1254774805 Enrollment ID: I20240209003876 |
| Provider Name | Melissa L Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962270819 PECOS PAC ID: 3870930613 Enrollment ID: I20240328001294 |
| Provider Name | Hannah Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740881069 PECOS PAC ID: 1759728504 Enrollment ID: I20240328001417 |
| Provider Name | Jordan Beard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073175212 PECOS PAC ID: 8325487101 Enrollment ID: I20240412000695 |
| Provider Name | Brittney Elizabeth Fried |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750160776 PECOS PAC ID: 8224479324 Enrollment ID: I20240507002174 |
| Provider Name | Melissa Marie Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679100515 PECOS PAC ID: 7810439940 Enrollment ID: I20240605000196 |
Kodiak Area Native Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9800 Fax: 907-486-9897 | |
North Pacific Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 Center Ave, Ste 100, Kodiak, AK 99615 Phone: 907-486-4183 Fax: 907-486-4233 | |
Kodiak Area Native Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9868 Fax: 907-486-9884 | |
Arctic Chiropractic & Massage Kodiak Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2975 Mill Bay Rd Ste A, Kodiak, AK 99615 Phone: 907-512-0809 Fax: 907-512-0828 | |
Kodiak Island Medical Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1818 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-6065 Fax: 907-486-2248 | |
Rockmore-king Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Building N46 Cape Sarichef, Kodiak, AK 99619 Phone: 907-487-5757 Fax: 907-487-5360 |