Kodiak Island Medical Associates LLC
NPI 1770529794 · Multi-Specialty Clinic/Center · Kodiak, AK
Kodiak Island Medical Associates LLC is a Multi-Specialty Clinic/Center organization in Kodiak, AK (NPI 1770529794).
Provider details
- NPI number
- 1770529794
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Withrow, Owner(907) 486-6065
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2006-06-20
- Last updated
- 2017-12-06
Frequently asked questions
- What is Kodiak Island Medical Associates LLC's NPI number?
- Kodiak Island Medical Associates LLC's National Provider Identifier (NPI) is 1770529794, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kodiak Island Medical Associates LLC?
- Kodiak Island Medical Associates LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kodiak Island Medical Associates LLC located?
- Kodiak Island Medical Associates LLC's practice location on file with NPPES is 1818 E Rezanof Dr, Kodiak, AK 99615.
- What is Kodiak Island Medical Associates LLC's phone number?
- The practice phone number listed in the NPPES registry for Kodiak Island Medical Associates LLC is (907) 486-6065.
- Who is the authorized official for Kodiak Island Medical Associates LLC?
- The authorized official listed on Kodiak Island Medical Associates LLC's NPPES record is Mark Withrow, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kodiak Island Medical Associates LLC's NPI active?
- Yes — Kodiak Island Medical Associates LLC's NPI (1770529794) is active in the NPPES registry as of the last update on 2017-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.