OrganizationActive
Ptarmigan Pediatrics LLC
NPI 1053574293 · Pediatrics Physician · Wasilla, AK
Provider details
- NPI number
- 1053574293
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Laura Peterson, Owner(907) 357-4543
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3543 E Meridian Park Loop Ste a
Wasilla, AK 99654-7233
Phone: (907) 357-4543
Fax: (907) 357-4533
Street-level locationGet directions
Mailing address
3543 E Meridian Park Loop Ste a
Wasilla, AK 99654-7233
Registry dates
- Enumerated
- 2008-07-08
- Last updated
- 2025-02-12
- Certified
- 2025-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.