Organization
KENAI PENINSULA UROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY JOHN SCHOENROCK M.D (MANAGING MEMBER)
(907) 262-5788
Entity
Organization
Contact information
Practice address
262 N BINKLEY ST, SOLDOTNA, AK 99669-7522
(907) 262-5788
(907) 262-6099
Mailing address
262 N BINKLEY ST, SOLDOTNA, AK 99669-7522
(907) 262-5788
(907) 262-6099
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2316
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD23162
—
AK
Enumeration date
05/14/2007
Last updated
12/20/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up