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MARK T. KOWAL MD PC
NPI 1205112240
Clinic/Center in Fairbanks, AK

Active since October 21, 2011
1919 LATHROP ST, SUITE 202, FAIRBANKS, AK 99701(907) 451-5507(907) 451-5590 Get Directions Write a Review

NPPES record last updated: December 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark T. Kowal Md Pc NPPES

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

MARK T. KOWAL MD PC (NPI 1205112240) is a healthcare organization registered as a clinic/center in Fairbanks, Alaska and active in the NPI registry since October 2011. The organization lists Mark Timothy Kowal, General Surgeon, as its authorized official.

NPPES Registry Identity

NPI1205112240
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMARK T. KOWAL MD PC
Location Address1919 LATHROP ST, SUITE 202Fairbanks, AK 99701-5937
Mailing Address1919 Lathrop St, Suite 202Fairbanks, AK 99701-5937 · (907) 451-5507 · Fax (907) 451-5590
Phone(907) 451-5507
Fax(907) 451-5590
Organization SubpartNo
Authorized OfficialMark Timothy KowalGeneral Surgeon · (907) 451-5507
Enumeration DateOctober 21, 2011
Last NPPES UpdateDecember 27, 2016
✔ NPI 1205112240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in AK · 7319
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1919 LATHROP ST, Fairbanks, AK 99701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

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.

EYE CLINIC OF FAIRBANKS, INC
Ophthalmology
1919 LATHROP ST, SUITE 103
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-7760
FAIRBANKS ORTHODONTIC GROUP A PROF CORP
Dentist (Orthodontics and Dentofacial Orthopedics)
1919 LATHROP ST, SUITE 102
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-2939
EAR NOSE & THROAT CLINIC INC.
Otolaryngology
1919 LATHROP ST, SUITE 103
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-7768
MRS. SHANNON KAY RHOTON MSN, FNP-BC
Nurse Practitioner (Family)
1919 LATHROP ST, SUITE 217
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-8191
PRESCRIPTION CENTER LLC
Pharmacy (Community/Retail Pharmacy)
1919 LATHROP ST, SUITE 109
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1514
STARKS MD LLC
Internal Medicine
1919 LATHROP ST, STE 204
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-4822
STEFAN LEO-NYQUIST DO
Family Medicine
1919 LATHROP ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 458-2619
DAVID BOYD ATC
Specialist/Technologist (Athletic Trainer)
1919 LATHROP ST, SUITE 123
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 455-4401

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 Mark T. Kowal MD PC's NPI number?

The NPI number for Mark T. Kowal MD PC is 1205112240. It was assigned to this organization in the NPPES registry on October 21, 2011.

Where is Mark T. Kowal MD PC located?

Mark T. Kowal MD PC is located at 1919 Lathrop St Suite 202, Fairbanks, AK 99701. The listed phone number is (907) 451-5507.

What is Mark T. Kowal MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Mark T. Kowal MD PC accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Mark T. Kowal MD PC 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 Mark T. Kowal MD PC was last updated on December 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.