OrganizationActive
Southeast Urology Clinic a PC
NPI 1083715262 · Urology Physician · Ketchikan, AK
Southeast Urology Clinic a PC is a Urology Physician organization in Ketchikan, AK (NPI 1083715262).
Provider details
- NPI number
- 1083715262
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eva Samtmana, Aministrator(360) 424-7991
- License
- 121467 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone: (907) 225-1896
Fax: (360) 428-4377
Street-level locationGet directions
Mailing address
1311 E Division St
Mount Vernon, WA 98274
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2010-08-09
Frequently asked questions
- What is Southeast Urology Clinic a PC's NPI number?
- Southeast Urology Clinic a PC's National Provider Identifier (NPI) is 1083715262, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Urology Clinic a PC?
- Southeast Urology Clinic a PC is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Southeast Urology Clinic a PC located?
- Southeast Urology Clinic a PC's practice location on file with NPPES is 3100 Tongass Ave, Ketchikan, AK 99901-5746.
- What is Southeast Urology Clinic a PC's phone number?
- The practice phone number listed in the NPPES registry for Southeast Urology Clinic a PC is (907) 225-1896.
- Who is the authorized official for Southeast Urology Clinic a PC?
- The authorized official listed on Southeast Urology Clinic a PC's NPPES record is Eva Samtmana, Aministrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Urology Clinic a PC's NPI active?
- Yes — Southeast Urology Clinic a PC's NPI (1083715262) is active in the NPPES registry as of the last update on 2010-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.