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

Active since November 03, 2023CLIA 02D2085378 · Waiver
240 HOSPITAL PL, SOLDOTNA, AK 99669(907) 714-6120(907) 416-7683 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Central Peninsula Gastroenterology NPPES

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

CENTRAL PENINSULA GASTROENTEROLOGY (NPI 1154194819) is a healthcare organization registered as a gastroenterology in Soldotna, Alaska and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through August 27, 2027 and lists Michael Jon Haggerty, Cfo, as its authorized official.

NPPES Registry Identity

NPI1154194819
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameCENTRAL PENINSULA GENERAL HOSPITAL, INC
Location Address240 HOSPITAL PLSoldotna, AK 99669-7559
Mailing Address250 Hospital PlSoldotna, AK 99669-7559 · (907) 714-6120 · Fax (907) 416-7683
Fax(907) 416-7683
Organization SubpartYes
Authorized OfficialMichael Jon HaggertyCfo · (907) 714-4722
Enumeration DateNovember 3, 2023
Last NPPES UpdateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
NPI 1154194819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
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.
240 HOSPITAL PL, Soldotna, AK 99669

Other Names 1

Doing Business AsCentral Peninsula Gastroenterology

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 02D2085378

Central Peninsula Urology · Soldotna, AK
Active · expires Aug 27, 2027
CLIA Number02D2085378
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateAugust 27, 2027
Laboratory DirectorDr. Robert E. Cadoff
Laboratory Phone(907) 714-5325
Laboratory LocationCentral Peninsula Urology240 Hospital Place, Sutie 303A, Soldotna, AK 99669
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Gerontology)
240 HOSPITAL PL
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
Radiology (Radiation Oncology)
240 HOSPITAL PL
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 (Foot & Ankle Surgery)
240 HOSPITAL PL, SUITE 203
SOLDOTNA, AK 99669
Internal Medicine (Hematology & Oncology)
240 HOSPITAL PL
SOLDOTNA, AK 99669

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Central Peninsula General Hospital, Inc's NPI number?

The NPI number for Central Peninsula General Hospital, Inc is 1154194819. It was assigned to this organization in the NPPES registry on November 3, 2023. The provider is doing business as Central Peninsula Gastroenterology.

Where is Central Peninsula General Hospital, Inc located?

Central Peninsula General Hospital, Inc is located at 240 Hospital Pl, Soldotna, AK 99669. The listed phone number is (907) 714-6120.

What is Central Peninsula General Hospital, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Central Peninsula General Hospital, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2085378) is associated with this NPI, valid through August 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Central Peninsula General Hospital, Inc accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Central Peninsula General Hospital, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Central Peninsula General Hospital, Inc was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.