HENRY G KRULL (NPI# 1669477790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669477790 |
| Entity Type | Individual |
| Full Name | HENRY G KRULL |
| Credential | M.D. |
| Practice Address |
291 N Fireweed St Soldotna AK 99669-7540 |
| Practice Telephone | 9072626454 |
| Practice Fax Number | 9072620832 |
| Mailing Telephone | 9072626454 |
| Mailing Fax Number | 9072620834 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2013-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 4336 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | DEA REGISTRATION | BK 7586259 | 01 |
| AK | ALASKA RAILROAD I.D. | 200039684 | 01 |
| AK | MD 4333 | 05 |
| Street Address |
291 N FIREWEED ST |
| City | SOLDOTNA |
| State | AK |
| Zip Code | 99669-7540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891790184 | Independence Healthcare PC | Clinic/Center | 291 N Fireweed St, Soldotna, AK 99669-7540 | 2005-06-14 |
| 1386206647 | Sarah Allen Phillips | Nurse Practitioner | 291 N Fireweed St, Soldotna, AK 99669-7540 | 2019-07-07 |
| 1083171342 | Aer Medical LLC | Internal Medicine | 291 N Fireweed St, Soldotna, AK 99669-7540 | 2019-02-22 |
| 1245771864 | Independence Imaging | Radiology | 291 N Fireweed St, Soldotna, AK 99669-7540 | 2017-03-15 |
| 1427598978 | Independence Healthcare | Radiology | 291 N Fireweed St, Soldotna, AK 99669-7540 | 2017-03-02 |
| 1497002968 | Kenai Spine LLC | Orthopaedic Surgery | 291 N Fireweed St, Soldotna, AK 99669-7540 | 2012-08-14 |
| 1811192495 | Alvaro Enrique Rosales | Internal Medicine | 291 N Fireweed St, Soldotna, AK 99669-7540 | 2007-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201226 | Kyle Arron Shassetz | Counselor | 43335 K-beach Rd., Soldotna, AK 99669 | 2020-09-29 |
| 1720614993 | Peninsula Instacare | Clinic/Center | 34581 Kenai Spur Hwy, Suite 1, Soldotna, AK 99669 | 2020-03-19 |
| 1871141077 | Alaine Viola Lagasse | Counselor | Kenai Vet Center, 43299 Kalifornsky Beach Road Ste 4, Soldotna, AK 99669 | 2019-08-30 |
| 1962970574 | Ryder R Storm | Behavior Technician | 338800 Community College Drive, Suite 1, Soldotna, AK 99669 | 2018-11-13 |
| 1356821540 | Tanecia Webster | Nurse Practitioner | 36570 Kenai Spur Hwy, Ste 103a, Soldotna, AK 99669 | 2018-08-16 |
| 1821519869 | Theresa Napolitano | Case Manager/Care Coordinator | 35477 Kenai Spur Hwy Suite 203, Soldotna, AK 99669 | 2017-06-29 |
| 1689048282 | Jeanne Bignell | Licensed Practical Nurse | 35020 Alaskan View Lane, Soldotna, AK 99669 | 2015-11-19 |
| 1952786105 | Ian Charles Mcmullen | Pharmacist | 44001 Sterling Highway, Soldotna, AK 99669 | 2015-07-29 |
| 1841679933 | Lana Clymer | Case Manager/Care Coordinator | 22994 Kalifornsky Beach Rd, Soldotna, AK 99669 | 2015-05-22 |
| 1861800773 | Phillip Bruce | Physical Therapy Assistant | 35105 Kenai Spury Hwy, Suite A, Soldotna, AK 99669 | 2014-07-24 |
| Find all providers in zip 99669 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174051718 | Scott Innes Md PC | Orthopaedic Surgery | 240 Hospital Pl Ste 204, Soldotna, AK 99669-7559 | 2017-05-26 |
| 1457455941 | Eric Mark Hammerberg | Orthopaedic Surgery | 240 Hospital Pl Ste 204b, Soldotna, AK 99669-7559 | 2006-09-12 |
| 1730165374 | David Scott Innes | Orthopaedic Surgery | 250 Hospital Pl, Soldotna, AK 99669-7559 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265834782 | Surgical Specialists of Alaska LLC | Orthopaedic Surgery | 1690 W Pipestone Dr, Wasilla, AK 99654-9741 | 2014-09-17 |
| 1093057895 | Rabun Samuel Fox | Orthopaedic Surgery | 3831 Piper St Ste 220, Anchorage, AK 99508-4680 | 2013-03-20 |
| 1194987511 | Kevin Charles Paisley | Orthopaedic Surgery | 4015 Lake Otis Pkwy Ste 201, Anchorage, AK 99508-5235 | 2008-06-26 |
| 1447426424 | Andrew Lewis Cornelius | Orthopaedic Surgery | 673d Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | 2008-04-30 |
| 1730394669 | Adam Covino Ellison | Orthopaedic Surgery | 1700 E Bogard Rd Ste 102, Wasilla, AK 99654-6563 | 2007-05-14 |
| 1568506657 | Marius Henry Panzarella | Orthopaedic Surgery | 1612 Mission Rd, Kodiak, AK 99615-6508 | 2007-02-20 |
| 1629132022 | John T Duddy | Orthopaedic Surgery | 2741 Debarr Rd Ste C305, Anchorage, AK 99508-2972 | 2006-12-20 |
| 1033278155 | Russell Degroote Md PC | Orthopaedic Surgery | 1621 Tongass Ave Ste 207, Ketchikan, AK 99901-6072 | 2006-12-06 |
| 1144392721 | Douglas Grant Smith | Orthopaedic Surgery | 4733 Pavalof St, Anchorage, AK 99507-1018 | 2006-11-15 |
| 1306931894 | Ted L Schwarting | Orthopaedic Surgery | 3220 Hospital Drive, Suite 201, Juneau, AK 99801 | 2006-10-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.