MEDICARE: DR. EDSON L. KNAPP M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	47265	TN
2	2085R0202X	Diagnostic Radiology Physician	0101238749	VA
3	2085R0202X	Diagnostic Radiology Physician	103509	AK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00274027	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	185560	OTHER	VA	ANTHEM BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609854173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDSON L. KNAPP M.D.

Provider Business Mailing Address
First Line	:	4300 BARTLETT ST
Second Line	:
City	:	HOMER
State	:	AK
Zip	:	99603-7005
Country	:	US
Telephone Number	:	907-235-0326
Fax Number	:	907-235-0253

Provider Business Practice Location Address
First Line	:	4300 BARTLETT ST
Second Line	:
City	:	HOMER
State	:	AK
Zip	:	99603-7005
Country	:	US
Telephone Number	:	907-235-0326
Fax Number	:	907-235-0253

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	03/11/2025

Similar Medicare Providers

1679566269 — SOUTH PENINSULA HOSPITAL, INC.
Practice Location Address:

4300 BARTLETT STREET
HOMER, AK
99603-7005

Practice Phone: 907-235-8101
Practice Fax: 907-235-0253

1104808070 — RAYMOND D. FOWLER M.D.
Practice Location Address:

4300 BARTLETT ST , SOUTH PENISULA HOSPITAL
HOMER, AK
99603-7005

Practice Phone: 907-235-8101
Practice Fax:

1366427809 — HAROLD CLIFFORD SMITH III MD
Practice Location Address:

4300 BARTLETT ST
HOMER, AK
99603-7005

Practice Phone: 907-235-8101
Practice Fax: 907-235-0877

1356313985 — MR. BRIAN EDWARD MILLER CRNA
Practice Location Address:

4300 BARTLETT ST
HOMER, AK
99603-7005

Practice Phone: 907-235-0260
Practice Fax: 907-235-0289

1700845476 — MS. PATRICIA LOUISE CUE MPH, RD, LD
Practice Location Address:

4300 BARTLETT ST
HOMER, AK
99603-7005

Practice Phone: 907-235-0342
Practice Fax:

1871695270 — SOUTH PENNISULA HOSPITAL PHCY
Practice Location Address:

4300 BARTLETT ST
HOMER, AK
99603-7005

Practice Phone: 907-235-0257
Practice Fax: 907-235-0848

Directions to “ DR. EDSON L. KNAPP M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.