Ptarmigan Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PTARMIGAN PEDIATRICS LLC

Practice address

3543 E Meridian Park Loop Ste a
Wasilla, AK 99654-7233

Phone

(907) 357-4543

Fax

(907) 357-4533

NPI assigned

Jul 8, 2008

Last updated

Feb 12, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Laura J Peterson, MDNPI 1831188473

Title

Owner

Phone

(907) 357-4543

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Jean Peterson, M.D.

  • Pediatrics Physician
  • Wasilla, AK
  • NPI 1831188473
  NPD (past) Authorized official
• Jeffrey G Demain, M.D

  • Allergy & Immunology Physician
  • Anchorage, AK
  • NPI 1548201395
  NPD (past)
• Bryan Farthing, PA-C

  • Medical Physician Assistant
  • Anchorage, AK
  • NPI 1003245788
  NPD (past)
• Jon Grace, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Anchorage, AK
  • NPI 1245573278
  NPD (past)
• Chantal Sue Hawk, DNP, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Anchorage, AK
  • NPI 1356727366
  NPD (past)
• David A Hemry, MD

  • Allergy & Immunology Physician
  • Anchorage, AK
  • NPI 1083725899
  NPD (past)
• Bruce Wayne Hess, D.O.

  • Pediatrics Physician
  • Wasilla, AK
  • NPI 1093790628
  NPD (past)
• Marin Howie, MD

  • Pediatrics Physician
  • Wasilla, AK
  • NPI 1528744174

  Single Specialty

  NPD (past)
• Naomi Tonje Johnson, NP-C

  • Family Nurse Practitioner
  • Wasilla, AK
  • NPI 1437787363
  NPD (past)
• David Kingston, PA-C

  • Allergy Physician
  • Anchorage, AK
  • NPI 1568867638
  NPD (past)
• Stephen Neal Marks, M.D.

  • Allergy Physician
  • Anchorage, AK
  • NPI 1437120235
  NPD (past)
• Allison Rebecca McLellan, MD

  • Pediatrics Physician
  • Wasilla, AK
  • NPI 1851896765
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1053574293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3543 E MERIDIAN PARK LOOP STE A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547233",
            "telephone_number": "907-357-4543",
            "fax_number": "907-357-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3543 E MERIDIAN PARK LOOP STE A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547233",
            "telephone_number": "907-357-4543",
            "fax_number": "907-357-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PTARMIGAN PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-357-4543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Elliot Profitt, PHARM. D
• Joanne Denise Pross, RN
• Provision Ministries
• Psychiatric & Counseling Services
• Ptarmigan Connections, LLC
• Ptarmigan Psychiatry, LLC
• Brittney Punt
• Cheryl Vanessa Puryear, MSCP
• Chandler John Putnam
• Roberta Pyrah

• Pediatrics Physician in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Pediatrics Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.