DR. ANDREW RICHARD PULLIAM M.D. NPI 1134160120

NPI Information

  • NPI: 1134160120
  • Provider Name: DR. ANDREW RICHARD PULLIAM, M.D.
  • Classification: Otolaryngology - 207YX0905X
  • Specialization: Otolaryngology/Facial Plastic Surgery
  • Entity Type: Individual
  • Address: 2490 S WOODWORTH LOOP
    SUITE 201
    PALMER, AK
    ZIP 99645
  • Phone: (907) 745-9200

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NPI Details

DR. Andrew Richard Pulliam, M.D. is an otolaryngology/facial plastic surgery otolaryngology in Palmer, AK. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. DR. Andrew Richard Pulliam, M.D. NPI is 1134160120. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2490 S WOODWORTH LOOP
SUITE 201
PALMER, AK
ZIP 99645-405
Phone: (907) 745-9200
Fax: (907) 745-9201

The enumeration date for this NPI number is 6/9/2006 and was last updated on 11/6/2013.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic Surgery4516ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11013105MEDICAIDALASKA
2K160457OTHERPTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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