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KODIAK ISLAND MEDICAL ASSOCIATES LLC
NPI 1609051986
Clinic/Center - Multi-Specialty in Kodiak, AK

Active since January 04, 2008
1818 E REZANOF DR, KODIAK, AK 99615(907) 486-6065(907) 486-2248 Get Directions Write a Review

NPPES record last updated: January 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kodiak Island Medical Associates Llc NPPES

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

KODIAK ISLAND MEDICAL ASSOCIATES LLC (NPI 1609051986) is a healthcare organization registered as a multi-specialty in Kodiak, Alaska and active in the NPI registry since January 2008. The organization lists Mark E Withrow, Owner Md, as its authorized official.

NPPES Registry Identity

NPI1609051986
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameKODIAK ISLAND MEDICAL ASSOCIATES LLC
Location Address1818 E REZANOF DRKodiak, AK 99615
Mailing Address1818 E Rezanof DrKodiak, AK 99615 · (907) 486-6065 · Fax (907) 486-2248
Phone(907) 486-6065
Fax(907) 486-2248
Organization SubpartNo
Authorized OfficialMark E WithrowOwner Md · (907) 486-6065
Enumeration DateJanuary 4, 2008
✔ NPI 1609051986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1818 E REZANOF DR, Kodiak, AK 99615
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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.

CORI D TAYLOR
Peer Specialist
1818 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 481-2400
ZARIA R GENTLE LMSW
Social Worker
1818 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 481-2400
VERONICA ANGELICA SAMANIEGO LPC
Counselor (Professional)
1818 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 481-2400
RAE JEAN BLASCHKA NP
Nurse Practitioner
1818 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-6065
CAROL JUERGENS MD
Internal Medicine
1818 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-6065
PORSCHIA COLEMAN
Social Worker
1818 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 481-2400
STEPHEN SPENCER BURNSIDE MD
Internal Medicine
1818 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-6065
KENNETH MCENTEE
Case Manager/Care Coordinator
1818 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (815) 412-5476

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 Kodiak Island Medical Associates LLC's NPI number?

The NPI number for Kodiak Island Medical Associates LLC is 1609051986. It was assigned to this organization in the NPPES registry on January 4, 2008.

Where is Kodiak Island Medical Associates LLC located?

Kodiak Island Medical Associates LLC is located at 1818 E Rezanof Dr, Kodiak, AK 99615. The listed phone number is (907) 486-6065.

What is Kodiak Island Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Kodiak Island Medical Associates LLC was last updated on January 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.