Mat-Su Valley III LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MAT-SU VALLEY III LLC

Practice address

2490 S Woodworth Loop Ste 301
Palmer, AK 99645-7407

Phone

(907) 861-6700

Fax

(833) 464-3851

NPI assigned

Jul 29, 2026

Last updated

Jul 29, 2026By 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

Kristy Music

Title

Director, Provider Enrollment

Phone

(877) 892-9815

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1785283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1407778483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-465-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 S WOODWORTH LOOP STE 301",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457407",
            "telephone_number": "907-861-6700",
            "fax_number": "833-464-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAT-SU VALLEY III LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "MUSIC",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "DIRECTOR, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "877-892-9815"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mat-Su Ear, Nose, Throat & Facial Plastics, Inc.
• Mat-Su Emergency Medicine Physicians Corp
• Mat-Su Plastic Surgery LLC
• Mat-Su Regional Medical Center
• Mat-Su Valley III LLC
• Mat-Su Valley III LLC (Mat Su Urgent Care - Palmer)
• Mat-Su Valley III LLC (Mat-Su Urgent Care)
• Mat-Su Valley Medical Center LLC (Mat-Su Regional Medical Center)
• Matanuska Mama, LLC
• Matanuska Susitna Borough

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.