Peacehealth
NPI 1801965736ActiveOrganization· Radiology, Diagnostic Radiology· Ketchikan, AK
Radiology, Diagnostic Radiology in Ketchikan, Alaska, registered in NPPES in November 2006. The authorized official on file is Patrick J. Branco, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1801965736 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 7, 2006 |
| Last updated in NPPES | Aug 31, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | NO NUMBERS ISSUED | AK |
| Midwife | 176B00000X | — | AK |
| Anesthesiology | 207L00000X | — | AK |
| Emergency Medicine | 207P00000X | — | AK |
| Family Medicine | 207Q00000X | — | AK |
| Internal Medicine | 207R00000X | — | AK |
| Internal Medicine, Sleep Medicine | 207RS0012X | — | AK |
| Obstetrics & Gynecology | 207V00000X | — | AK |
| Orthopaedic Surgery | 207X00000X | NO NUMBERS ISSUED | AK |
| Pathology, Anatomic Pathology & Clinical Pathology | 207ZP0102X | NO NUMBERS ISSUED | AK |
| Pediatrics | 208000000X | NO NUMBERS ISSUED | AK |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | NO NUMBERS ISSUED | AK |
| Surgery | 208600000X | NO NUMBERS ISSUED | AK |
| Nurse Anesthetist, Certified Registered | 367500000X | — | AK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AK); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (IA); Part B Supplier - Clinic/Group Practice (IN); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (NM); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (OR); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (VA) |
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