MAT-SU EAR, NOSE, THROAT & FACIAL PLASTICS, INC.
NPI 1912010687
Specialist in Palmer, AK

Q: What is Mat-Su Ear, Nose, Throat & Facial Plastics, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since August 16, 2006

2490 SOUTH WOODWORTH LOOP, 201, PALMER, AK 99645(907) 745-9200(907) 745-9201 Get Directions Write a Review

NPPES record last updated: December 27, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mat-su Ear, Nose, Throat & Facial Plastics, Inc. NPPES

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

MAT-SU EAR, NOSE, THROAT & FACIAL PLASTICS, INC. (NPI 1912010687), doing business as Facial Plastic Ent & Associates, Inc, is a healthcare organization registered as a specialist in Palmer, Alaska and active in the NPI registry since August 2006. The organization lists Andrew Richard Pulliam, President, as its authorized official.

NPPES Registry Identity

NPI1912010687

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameMAT-SU EAR, NOSE, THROAT & FACIAL PLASTICS, INC.

Location Address2490 SOUTH WOODWORTH LOOP, 201Palmer, AK 99645

Mailing Address2490 South Woodworth Loop, 201Palmer, AK 99645 · (907) 745-9200 · Fax (907) 745-9201

Phone(907) 745-9200

Fax(907) 745-9201

Organization SubpartNo

Authorized OfficialAndrew Richard PulliamPresident · (907) 745-9200

Enumeration DateAugust 16, 2006

Last NPPES UpdateDecember 27, 2017

✔ NPI 1912010687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in AK · 4516

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2490 SOUTH WOODWORTH LOOP, Palmer, AK 99645

Open in Google Maps ↗

Other Names 1

Former Legal Business NameFacial Plastic Ent & Associates, Inc

Other Identifiers 2

MedicaidMD3510AK

Medicaid1020801AK

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

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

ALASKA NEUROLOGICAL SURGERY LLC

Neurological Surgery

2490 SOUTH WOODWORTH LOOP, SUITE 450
PALMER, AK 99645

Matanuska-Susitna Borough (907) 746-7479

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mat-Su Ear, Nose, Throat & Facial Plastics, Inc.'s NPI number?

The NPI number for Mat-Su Ear, Nose, Throat & Facial Plastics, Inc. is 1912010687. It was assigned to this organization in the NPPES registry on August 16, 2006. The provider was formerly known as Facial Plastic Ent & Associates, Inc.

Where is Mat-Su Ear, Nose, Throat & Facial Plastics, Inc. located?

Mat-Su Ear, Nose, Throat & Facial Plastics, Inc. is located at 2490 South Woodworth Loop 201, Palmer, AK 99645. The listed phone number is (907) 745-9200.

What is Mat-Su Ear, Nose, Throat & Facial Plastics, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mat-Su Ear, Nose, Throat & Facial Plastics, Inc. was last updated on December 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.