CENTRAL PENINSULA GASTROENTEROLOGY
NPI 1154194819
Internal Medicine - Gastroenterology in Soldotna, AK

NPI Status: Active since November 03, 2023

Contact Information

240 HOSPITAL PL
SOLDOTNA, AK
ZIP 99669
Phone: (907) 714-6120
Fax: (907) 416-7683

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  • Organization
  • Internal Medicine
  • Gastroenterology
  • Accepts Insurance
  • CLIA Number: 02D2085378
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-27-2027

About CENTRAL PENINSULA GASTROENTEROLOGY

This page provides the complete NPI Profile along with additional information for Central Peninsula Gastroenterology, an internist established in Soldotna, Alaska operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1154194819 assigned on November 2023. The practitioner's primary taxonomy code is 207RG0100X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Central Peninsula Gastroenterology. The authorized official of this NPI record is Michael Jon Haggerty (Cfo)

NPI
1154194819
Provider Legal Name
CENTRAL PENINSULA GENERAL HOSPITAL, INC
Other Organization Name
CENTRAL PENINSULA GASTROENTEROLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
240 HOSPITAL PL SOLDOTNA, AK 99669
Location Phone
(907) 714-6120
Location Fax
(907) 416-7683
Mailing Address
250 HOSPITAL PL SOLDOTNA, AK 99669
Mailing Phone
(907) 714-6120
Mailing Fax
(907) 416-7683
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-03-2023
Last Update Date
01-16-2024
Code Navigator

An internist like Central Peninsula Gastroenterology is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Gastroenterology

Taxonomy Code
207RG0100X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL JON HAGGERTY

Authorized Official Title
CFO
Authorized Official Phone
(907) 714-4722

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
02D2085378
Facility Type
Physician Office
Certificate Effective Date
August 28, 2025
Certificate Expiration Date
August 27, 2027
Laboratory Director
DR. ROBERT E. CADOFF
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Central Peninsula Gastroenterology to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154194819, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 1 → 2 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 2 + 9 + 8 + 8 + 2 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1154194819.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Podiatrist (Foot & Ankle Surgery)
240 HOSPITAL PL, SUITE 203
SOLDOTNA, AK 99669
General Acute Care Hospital (Rural)
240 HOSPITAL PL, STE 305
SOLDOTNA, AK 99669
General Acute Care Hospital (Rural)
240 HOSPITAL PL, STE 204
SOLDOTNA, AK 99669
Podiatrist
240 HOSPITAL PL, STE 203
SOLDOTNA, AK 99669
Urology
240 HOSPITAL PL, STE 303A
SOLDOTNA, AK 99669
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
240 HOSPITAL PL
SOLDOTNA, AK 99669
Nurse Practitioner (Gerontology)
240 HOSPITAL PL
SOLDOTNA, AK 99669
Internal Medicine (Hematology & Oncology)
240 HOSPITAL PL
SOLDOTNA, AK 99669
Psychiatry & Neurology (Neurology)
240 HOSPITAL PL
SOLDOTNA, AK 99669
Radiology (Radiation Oncology)
240 HOSPITAL PL
SOLDOTNA, AK 99669

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154194819, enumerated as an "organization" on November 03, 2023.

The provider is located at 240 HOSPITAL PL SOLDOTNA, AK 99669 and the phone number is (907) 714-6120.

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.