1. Home
  2. Directory
  3. Alaska
  4. Homer
  5. Specialist
  6. NPI Profile

SOUTH PENINSULA GENERAL SURGERY LLC
NPI 1164745972
Specialist in Homer, AK

Active since March 08, 2010
104 E FAIRVIEW AVE, HOMER, AK 99603(907) 235-1010(907) 235-1099 Get Directions Write a Review

NPPES record last updated: March 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Peninsula General Surgery Llc NPPES

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

SOUTH PENINSULA GENERAL SURGERY LLC (NPI 1164745972) is a healthcare organization registered as a specialist in Homer, Alaska and active in the NPI registry since March 2010. The organization lists Rene L Alvarez, Owner, as its authorized official.

NPPES Registry Identity

NPI1164745972
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTH PENINSULA GENERAL SURGERY LLC
Location Address104 E FAIRVIEW AVEHomer, AK 99603-7546
Mailing AddressPo Box 3287Homer, AK 99603-3287 · (907) 235-1010 · Fax (907) 235-1099
Phone(907) 235-1010
Fax(907) 235-1099
Organization SubpartNo
Authorized OfficialRene L AlvarezOwner · (907) 235-1010
Enumeration DateMarch 8, 2010
✔ NPI 1164745972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AK · 2272
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
104 E FAIRVIEW AVE, Homer, AK 99603
Open in Google Maps ↗

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

PENINSULA SURGERY AND AESTHETICS
Clinic/Center (Endoscopy)
104 E FAIRVIEW AVE
HOMER, AK 99603
Kenai Peninsula Borough (907) 299-0737

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 South Peninsula General Surgery LLC's NPI number?

The NPI number for South Peninsula General Surgery LLC is 1164745972. It was assigned to this organization in the NPPES registry on March 8, 2010.

Where is South Peninsula General Surgery LLC located?

South Peninsula General Surgery LLC is located at 104 E Fairview Ave, Homer, AK 99603. The listed phone number is (907) 235-1010.

What is South Peninsula General Surgery LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for South Peninsula General Surgery LLC was last updated on March 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.