PTARMIGAN PEDIATRICS LLC NPI 1053574293

NPI Details

PTARMIGAN PEDIATRICS LLC is a pediatrics in Wasilla, AK. The provider is 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. PTARMIGAN PEDIATRICS LLC NPI is 1053574293. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3543 E MERIDIAN PARK LOOP STE A
WASILLA, AK
ZIP 99654-233
Phone: (907) 357-4543
Fax: (907) 357-4533

The provider's authorized official is Laura J Peterson .
The authorized official title is Owner and has the following contact phone number (907) 357-4543.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Sarscov2 vac 30 mcg trs-sucr (HCPCS:91305)
• Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
• Coronavirus vaccine 13 (HCPCS:91312)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
• Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted, for intramuscular use (HCPCS:91300)
• Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)

The enumeration date for this NPI number is 7/8/2008 and was last updated on 2/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: