Providence Health & Services - Washington

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Doing business as

Providence Matanuska Health Care

Practice address

2250 S. Woodworth Loop
Suite 101
Palmer, AK 99645

Phone

(907) 761-5900

Fax

(907) 761-5975

NPI assigned

Jul 31, 2006

Last updated

May 15, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

PROVIDENCE HEALTH AND SERVICES ALASKAAs reported in NPPES

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

Authorized official

Name

Donald Wayne Anderson Jr.

Title

Assistant Secretary of Enrollments

Phone

(425) 358-9786

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Providence Matanuska Health Care Doing business as

Part of

Providence Health Services - Washington

Locations

Practitioners 3

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.

• Cathy Baldwin-Johnson, MD

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1780699264
  NPD
• Barbara J Doty, MD

  • Family Medicine Physician
  • Wasilla, AK
  • NPI 1427065648
  NPD
• Jeffrey B Clode, MD

  • Internal Medicine Physician
  • Spokane, WA
  • NPI 1245297712
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1093720534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 S. WOODWORTH LOOP",
            "address_2": "SUITE 101",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "99645",
            "telephone_number": "907-761-5900",
            "fax_number": "907-761-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEALTH & SERVICES - WASHINGTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE HEALTH AND SERVICES ALASKA",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY OF ENROLLMENTS",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDG669",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Matanuska Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Koral Jean Poynter
• David Elijah Prater, PT, DPT
• Precision Health, LLC (Precision Health Alaska)
• Presbyterian Hospitality House
• James H Price Jr., D.O.
• Genie Sabas Provo
• Jospeh Provo, MT
• Psychology Solutions, LLC
• Andrew Richard Pulliam, M.D.
• Alexandra Meghan Pultz

• Family Medicine Physician in Palmer, AK
• Providers in Palmer, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.