OrganizationActive
Mat-Su Ear, Nose, Throat & Facial Plastics, Inc.
NPI 1912010687 · Specialist · Palmer, AK
Mat-Su Ear, Nose, Throat & Facial Plastics, Inc. is a Specialist organization in Palmer, AK (NPI 1912010687).
Provider details
- NPI number
- 1912010687
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Andrew Pulliam, President(907) 745-9200
- License
- 4516 (AK)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2490 South Woodworth Loop
201
Palmer, AK 99645
Phone: (907) 745-9200
Fax: (907) 745-9201
Street-level locationGet directions
Mailing address
2490 South Woodworth Loop
Palmer, AK 99645
Other names (DBA / former)
- Former legal business name
- Facial Plastic Ent & Associates, Inc
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2017-12-27
Frequently asked questions
- What is Mat-Su Ear, Nose, Throat & Facial Plastics, Inc.'s NPI number?
- Mat-Su Ear, Nose, Throat & Facial Plastics, Inc.'s National Provider Identifier (NPI) is 1912010687, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mat-Su Ear, Nose, Throat & Facial Plastics, Inc.?
- Mat-Su Ear, Nose, Throat & Facial Plastics, Inc. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Mat-Su Ear, Nose, Throat & Facial Plastics, Inc. located?
- Mat-Su Ear, Nose, Throat & Facial Plastics, Inc.'s practice location on file with NPPES is 2490 South Woodworth Loop, Palmer, AK 99645.
- What is Mat-Su Ear, Nose, Throat & Facial Plastics, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Mat-Su Ear, Nose, Throat & Facial Plastics, Inc. is (907) 745-9200.
- Who is the authorized official for Mat-Su Ear, Nose, Throat & Facial Plastics, Inc.?
- The authorized official listed on Mat-Su Ear, Nose, Throat & Facial Plastics, Inc.'s NPPES record is Andrew Pulliam, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mat-Su Ear, Nose, Throat & Facial Plastics, Inc.'s NPI active?
- Yes — Mat-Su Ear, Nose, Throat & Facial Plastics, Inc.'s NPI (1912010687) is active in the NPPES registry as of the last update on 2017-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.