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

PENINSULA SURGICAL CLINIC PC
NPI 1952310369
Surgery in Homer, AK

Active since August 05, 2006
203 W PIONEER AVE, SUITE 2, HOMER, AK 99603(907) 262-6800(907) 262-9276 Get Directions Write a Review

NPPES record last updated: November 13, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peninsula Surgical Clinic Pc NPPES

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

PENINSULA SURGICAL CLINIC PC (NPI 1952310369) is a healthcare organization registered as a surgery in Homer, Alaska and active in the NPI registry since August 2006. The organization lists M Todd Boling, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1952310369
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePENINSULA SURGICAL CLINIC PC
Location Address203 W PIONEER AVE, SUITE 2Homer, AK 99603-7527
Mailing Address35477 Kenai Spur Hwy, Suite 201Soldotna, AK 99669-7625 · (907) 262-6800 · Fax (907) 262-9276
Phone(907) 262-6800
Fax(907) 262-9276
Organization SubpartNo
Authorized OfficialM Todd BolingOwner/president · (907) 235-3225
Enumeration DateAugust 5, 2006
Last NPPES UpdateNovember 13, 2012
✔ NPI 1952310369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AK · 3945
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
203 W PIONEER AVE, Homer, AK 99603
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN151829AK
MedicaidMPG0405AK
Medicare UPING34218AK

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

Other Providers at the Same Location NPPES 5

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

LAURIE DEAKINS
Case Manager/Care Coordinator
203 W PIONEER AVE, SUITE 1
HOMER, AK 99603
Kenai Peninsula Borough (907) 235-0369
DR. NATHAN WILLIAM KINCAID M.D.
Surgery
203 W PIONEER AVE
HOMER, AK 99603
Kenai Peninsula Borough (907) 235-3225
M TODD BOLING D.O.
Surgery
203 W PIONEER AVE, SUITE 2
HOMER, AK 99603
Kenai Peninsula Borough (907) 235-3225
PAMELA SUE HOOKER
Case Manager/Care Coordinator
203 W PIONEER AVE
HOMER, AK 99603
Kenai Peninsula Borough (907) 235-0369
IVY LYNN BETTS RN
Registered Nurse
203 W PIONEER AVE, SUITE 1
HOMER, AK 99603
Kenai Peninsula Borough (907) 235-0369

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 Peninsula Surgical Clinic PC's NPI number?

The NPI number for Peninsula Surgical Clinic PC is 1952310369. It was assigned to this organization in the NPPES registry on August 5, 2006.

Where is Peninsula Surgical Clinic PC located?

Peninsula Surgical Clinic PC is located at 203 W Pioneer Ave Suite 2, Homer, AK 99603. The listed phone number is (907) 262-6800.

What is Peninsula Surgical Clinic PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Peninsula Surgical Clinic PC was last updated on November 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.