JESSE ATWOOD MD PEDIATRICS - NPI 1669858106

Q: What is Jesse Atwood MD Pediatrics, LLC's NPI number?

The NPI number for Jesse Atwood MD Pediatrics, LLC is 1669858106. It was assigned to this organization in the NPPES registry on August 6, 2015. The provider is doing business as Jesse Atwood MD Pediatrics.

Q: What is Jesse Atwood MD Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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About Jesse Atwood Md Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSE ATWOOD MD PEDIATRICS (NPI 1669858106) is a healthcare organization registered as a pediatrics in Palmer, Alaska and active in the NPI registry since August 2015. The organization maintains 2 additional practice locations and lists Jesse William Atwood, President, as its authorized official.

NPPES Registry Identity

NPI1669858106

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameJESSE ATWOOD MD PEDIATRICS, LLC

Location Address2500 S WOODWORTH LOOPPalmer, AK 99645-8984

Mailing AddressPo Box 876166Wasilla, AK 99687-6166

Phone(907) 861-6000

Organization SubpartNo

Authorized OfficialJesse William AtwoodPresident · (509) 999-0949

Enumeration DateAugust 6, 2015

Last NPPES UpdateMarch 30, 20232 updates tracked since enumeration

NPPES CertifiedMarch 30, 2023

✔ NPI 1669858106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AK · 7328

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2500 S WOODWORTH LOOP, Palmer, AK 99645

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Other Names 1

Doing Business AsJesse Atwood Md Pediatrics

Secondary Practice Locations 2

Location 13100 Tongass AveKetchikan, AK 99901-5746 · Phone (907) 225-5171

Location 2216 14th Ave SWSidney, MT 59270-3519 · Phone (406) 488-2100

Other Identifiers 1

MedicaidMD4770AK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAT SU VALLEY MEDICAL CENTER LLC

Medicare Defined Swing Bed Unit