OrganizationActive
Central Peninsula General Hospital, Inc
NPI 1639523418 · Internal Medicine Physician · Soldotna, AK
Provider details
- NPI number
- 1639523418
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Central Peninsula General Hospital, Inc
- Organization subpart
- Yes
- Authorized official
- Richard Davis, Ceo(907) 714-4723
- License
- 1034006 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
247 N Fireweed St Ste a
Soldotna, AK 99669-7593
Phone: (907) 262-8597
Fax: (907) 262-6516
Street-level locationGet directions
Mailing address
250 Hospital Pl
Soldotna, AK 99669-7559
Other names (DBA / former)
- Doing business as
- Central Peninsula Internal Medicine Associates
- Doing business as
- Central Peninsula Internal Medicine Associates
Registry dates
- Enumerated
- 2016-04-19
- Last updated
- 2020-12-07
- Certified
- 2020-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.