JESSE ATWOOD MD PEDIATRICS – NPI #1669858106
Pediatrics

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.

JESSE ATWOOD MD PEDIATRICS is a provider located in PALMER, AK. NPPES has assigned the NPI number 1669858106 to JESSE ATWOOD MD PEDIATRICS on August 06, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JESSE ATWOOD MD PEDIATRICS” is a dba name, the actual legal business name for this organization is JESSE ATWOOD MD PEDIATRICS, LLC. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 3 years ago on Mar 30, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JESSE ATWOOD MD PEDIATRICS below.

NPI Profile for
JESSE ATWOOD MD PEDIATRICS, LLC

NPI Number
1669858106
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JESSE ATWOOD MD PEDIATRICS, LLC
Doing Business As (dba): JESSE ATWOOD MD PEDIATRICS
Primary location
2500 S WOODWORTH LOOP
PALMER, AK 99645-8984
Phone: (907) 861-6000 Fax:
2 Other location(s):
3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone: (907) 225-5171
216 14th Ave SW
Sidney, MT 59270-3519
Phone: (406) 488-2100
Mailing address
PO BOX 876166
WASILLA, AK 99687-6166
Phone: Fax:
Organization Subpart
No
Authorized Official
JESSE ATWOOD
PRESIDENT
Phone: (509) 999-0949
Updated
Certification Date
Mar 30, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JESSE ATWOOD MD PEDIATRICS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidAKMD4770
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
AK 7328

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.