SOUTHEAST UROLOGY CLINIC A PC
NPI 1083715262
Urology in Ketchikan, AK

Q: What is Southeast Urology Clinic A PC's NPI number?

The NPI number for Southeast Urology Clinic A PC is 1083715262. It was assigned to this organization in the NPPES registry on September 26, 2006.

Q: What is Southeast Urology Clinic A PC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since September 26, 2006

3100 TONGASS AVE, KETCHIKAN, AK 99901(907) 225-1896(360) 428-4377 Get Directions Write a Review

NPPES record last updated: August 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southeast Urology Clinic A Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST UROLOGY CLINIC A PC (NPI 1083715262) is a healthcare organization registered as an urology in Ketchikan, Alaska and active in the NPI registry since September 2006. The organization lists Eva M Samtmana, Aministrator, as its authorized official.

NPPES Registry Identity

NPI1083715262

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameSOUTHEAST UROLOGY CLINIC A PC

Location Address3100 TONGASS AVEKetchikan, AK 99901-5746

Mailing Address1311 E Division StMount Vernon, WA 98274 · (360) 424-7991 · Fax (360) 424-5441

Phone(907) 225-1896

Fax(360) 428-4377

Organization SubpartNo

Authorized OfficialEva M SamtmanaAministrator · (360) 424-7991

Enumeration DateSeptember 26, 2006

Last NPPES UpdateAugust 9, 2010

✔ NPI 1083715262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in AK · 121467

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

3100 TONGASS AVE, Ketchikan, AK 99901

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Other Identifiers 2

Medicare ID-Type UnspecifiedK0000WCGXXAK

MedicaidGR0126AK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UROLOGY NORTHWEST, PS

Urology

3100 TONGASS AVE, 3RD FLOOR VISITING CLINIC
KETCHIKAN, AK 99901

Ketchikan Gateway Borough (855) 881-5319

SCOTT MYERS KIRCHNER MD

Internal Medicine