Organization
JESSE ATWOOD MD PEDIATRICS, LLC
Active
Organization
JESSE ATWOOD MD PEDIATRICS, LLC
Active
Other names
Jesse Atwood MD Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE WILLIAM ATWOOD M.D. (PRESIDENT)
(509) 999-0949
Entity
Organization
Contact information
Practice address
2500 S WOODWORTH LOOP, PALMER, AK 99645-8984
(907) 861-6000
Mailing address
PO BOX 876166, WASILLA, AK 99687-6166
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7328
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD4770
—
AK
Enumeration date
08/06/2015
Last updated
03/30/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up