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: July 19, 2026.

  • Organization
  • Clinic/Center
  • Accepts Insurance

About MARK T. KOWAL MD PC

This page provides the complete NPI Profile along with additional information for Mark T. Kowal Md Pc, a provider established in Fairbanks, Alaska operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1205112240 assigned on October 2011. The practitioner's primary taxonomy code is 261Q00000X with license number 7319 (AK). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Mark Timothy Kowal Md (General Surgeon)

NPI
1205112240 Verify this NPI
Provider Name
MARK T. KOWAL MD PC
Entity Type
Organization
Location Address
1919 LATHROP ST SUITE 202 FAIRBANKS, AK 99701
Location Phone
(907) 451-5507
Location Fax
(907) 451-5590
Mailing Address
1919 LATHROP ST SUITE 202 FAIRBANKS, AK 99701
Mailing Phone
(907) 451-5507
Mailing Fax
(907) 451-5590
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-21-2011
Last Update Date
12-27-2016
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
7319
License State
AK
Taxonomy Description
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).

Insurance Plans Accepted

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

  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO
  • Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Texas Bronze HDHP 7500 - EPO
  • Moda Select Texas Standard Bronze - EPO
  • Moda Select Texas Standard Gold - EPO
  • Moda Select Texas Standard Silver - EPO
  • 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

DR. MARK TIMOTHY KOWAL MD

Authorized Official Title
GENERAL SURGEON
Authorized Official Phone
(907) 451-5507

Reviews for MARK T. KOWAL MD PC

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Technician/Technologist (Optician)
1919 LATHROP ST, SUITE 103
FAIRBANKS, AK 99701
Psychiatry & Neurology (Neurology)
1919 LATHROP ST, STE 220
FAIRBANKS, AK 99701
Social Worker (Clinical)
1919 LATHROP ST, STE 220
FAIRBANKS, AK 99701
Surgery
1919 LATHROP ST, SUITE 204
FAIRBANKS, AK 99701
Nurse Practitioner
1919 LATHROP ST, STE 220
FAIRBANKS, AK 99701
Counselor (Professional)
1919 LATHROP ST, SUITE 220
FAIRBANKS, AK 99701
Obstetrics & Gynecology
1919 LATHROP ST, #217
FAIRBANKS, AK 99701
Dentist (General Practice)
1919 LATHROP ST, SUITE 211
FAIRBANKS, AK 99701
Family Medicine
1919 LATHROP ST, SUITE 100
FAIRBANKS, AK 99701
Physician Assistant (Surgical)
1919 LATHROP ST, SUITE 209
FAIRBANKS, AK 99701
Clinic/Center (Family Planning, Non-Surgical)
1919 LATHROP ST, STE. 205
FAIRBANKS, AK 99701
Ophthalmology
1919 LATHROP ST, SUITE 103
FAIRBANKS, AK 99701
Dentist (Periodontics)
1919 LATHROP ST, SUITE 210
FAIRBANKS, AK 99701
Dentist (Endodontics)
1919 LATHROP ST, SUITE 206
FAIRBANKS, AK 99701
Pharmacist
1919 LATHROP ST, SUITE # 109
FAIRBANKS, AK 99701
Nurse Practitioner (Family)
1919 LATHROP ST, SUITE 217
FAIRBANKS, AK 99701
Plastic Surgery
1919 LATHROP ST
FAIRBANKS, AK 99701
Dentist (Orthodontics and Dentofacial Orthopedics)
1919 LATHROP ST, SUITE 102
FAIRBANKS, AK 99701
Clinic/Center (Pain)
1919 LATHROP ST, SUITE 221
FAIRBANKS, AK 99701
Pharmacy (Community/Retail Pharmacy)
1919 LATHROP ST, SUITE 109
FAIRBANKS, AK 99701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205112240, enumerated as an "organization" on October 21, 2011.

The provider is located at 1919 LATHROP ST SUITE 202 FAIRBANKS, AK 99701 and the phone number is (907) 451-5507.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Moda Health Plan, Inc. and Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.