Jesse W Atwood, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

7328 Issued in AK

Practice address

2500 S Woodworth Loop
Palmer, AK 99645-8984

Phone

(907) 861-6000

NPI assigned

Aug 4, 2006

Last updated

Mar 23, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AK, MT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Peninsula Hospital, Inc.

  • Critical Access Hospital
  • Homer, AK
  • NPI 1679566269
  Medicare reassignment NPD
• Sidney Health Center

  • Critical Access Hospital
  • Sidney, MT
  • NPI 1285719161
  Medicare reassignment NPD
• Sidney Health Center

  dba Sidney Health Center Clinic

  • Clinic/Center
  • Sidney, MT
  • NPI 1376617191
  Medicare reassignment NPD
• Jesse Atwood MD Pediatrics, LLC

  dba Jesse Atwood MD Pediatrics

  • Pediatrics Physician
  • Palmer, AK
  • NPI 1669858106
  NPD Authorized official
• South Peninsula Hospital, Inc

  • Home Health Agency
  • Homer, AK
  • NPI 1164400750
  NPD
• Sidney Health Center

  dba Clinic Pharmacy

  • Community/Retail Pharmacy
  • Sidney, MT
  • NPI 1497743959
  NPD
• Sidney Health Center

  • Critical Access Hospital Clinic/Center
  • Sidney, MT
  • NPI 1699845958
  NPD
• Providence Health & Services- Washington

  dba Providence Medical Group Alaska

  • Critical Care Medicine (Internal Medicine) Physician
  • Anchorage, AK
  • NPI 1093956278
  NPD (past)
• Sidney Health Center

  dba Sidney Health Center Hospice

  • Community Based Hospice Care Agency
  • Sidney, MT
  • NPI 1932160413
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1700894664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 876166",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996876166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S WOODWORTH LOOP",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996458984",
            "telephone_number": "907-861-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Tongass Ave",
            "address_purpose": "LOCATION",
            "city": "Ketchikan",
            "state": "AK",
            "postal_code": "999015746",
            "country_code": "US",
            "telephone_number": "907-225-5171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "216 14th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Sidney",
            "state": "MT",
            "postal_code": "592703519",
            "country_code": "US",
            "telephone_number": "406-488-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATWOOD",
        "first_name": "JESSE",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AK",
            "license": "7328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8355976",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD4770",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arctic Chiropractic East Mat-Su LLC
• Arctic Medical Center Matsu
• April Michelle Arseneau, MD
• Kathleen H. Ashmore Roberts
• Eric Atkinson, RN, CNOR, RNFA
• Jordan Auldridge
• Aurora Kid, LLC (Aurora Kids Physical Therapy)
• Aurora Therapeutic Services, LLC
• Aurora Womens Health Care
• Kaija A Backus

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.