OrganizationActive
Peacehealth
NPI 1235556846 · Surgery Physician · Ketchikan, AK
Peacehealth is a Surgery Physician organization in Ketchikan, AK (NPI 1235556846).
Provider details
- NPI number
- 1235556846
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lori Mccoy, Provider Enrollment Specialist(360) 729-1411
- License
- 5790 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
212 Carlanna Lake Rd
#204
Ketchikan, AK 99901-5642
Phone: (907) 225-7346
Street-level locationGet directions
Mailing address
1115 Se 164th Ave
Vancouver, WA 98683-9324
Registry dates
- Enumerated
- 2014-03-20
- Last updated
- 2014-03-20
Frequently asked questions
- What is Peacehealth's NPI number?
- Peacehealth's National Provider Identifier (NPI) is 1235556846, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peacehealth?
- Peacehealth is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Peacehealth located?
- Peacehealth's practice location on file with NPPES is 212 Carlanna Lake Rd, Ketchikan, AK 99901-5642.
- What is Peacehealth's phone number?
- The practice phone number listed in the NPPES registry for Peacehealth is (907) 225-7346.
- Who is the authorized official for Peacehealth?
- The authorized official listed on Peacehealth's NPPES record is Lori Mccoy, Provider Enrollment Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peacehealth's NPI active?
- Yes — Peacehealth's NPI (1235556846) is active in the NPPES registry as of the last update on 2014-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.