Mat-Su Plastic Surgery LLC — NPI 1861776791

Mat-Su Plastic Surgery LLC’s National Provider Identifier is 1861776791. NPPES classifies this as a Type 2 organization record and reports a practice location in Palmer, Alaska. The primary taxonomy is Plastic Surgery Physician.

Key facts

NPI
1861776791
Entity type
Type 2 organization
NPPES status
Active in the August 10, 2026 snapshot
Practice location
2490 S WOODWORTH LOOP, SUITE 310
Palmer, Alaska 99645
Practice telephone
(907) 746-6100
Primary taxonomy
Plastic Surgery Physician (208200000X)
Allopathic & Osteopathic Physicians › Plastic Surgery
Enumeration date
October 11, 2011
NPPES last update
October 11, 2011
Source
CMS NPPES, NPPES Data Dissemination August 2026 V2

Questions answered by the NPPES record

What is the NPI for Mat-Su Plastic Surgery LLC?

The NPI listed for Mat-Su Plastic Surgery LLC in the NPPES snapshot is 1861776791. The number passes the NPI check-digit test and is recorded as active in that snapshot.

Is NPI 1861776791 an individual or organization record?

NPPES records NPI 1861776791 as an Entity Type 2 record, which CMS assigns to an organization health care provider.

Where is the reported practice location?

The primary practice location reported to NPPES is 2490 S WOODWORTH LOOP, SUITE 310, Palmer, Alaska 99645.

What taxonomy codes are listed for this NPI?

One taxonomy code is listed: Plastic Surgery Physician (208200000X), the primary taxonomy. Names come from the NUCC Health Care Provider Taxonomy code set version 26.1; definitions are not reproduced.

When was the NPPES record last updated?

NPPES reports a last update date of October 11, 2011 and an enumeration date of October 11, 2011, as published in NPPES Data Dissemination August 2026 V2.

Source and data date

All facts on this page come from the Centers for Medicare & Medicaid Services (CMS) NPPES data dissemination file NPPES Data Dissemination August 2026 V2, released August 10, 2026 (snapshot date 2026-08-10). The record was reproduced from the main provider file without edits; only the fields listed on the methodology page are published.

CMS updates NPPES continuously and this page reflects a single monthly snapshot. Confirm current details in the official NPPES NPI Registry.

Directory pages

This profile is listed on the Palmer, Alaska NPI directory and the Alaska NPI directory.

Other published profiles in Palmer, AK

Up to ten other profiles this site publishes for Palmer, listed alphabetically. Appearing together here indicates only a shared reported practice city, not any affiliation or relationship. The city page lists all 43 published profiles.

Independent service disclaimer

This directory is an independent, experimental publication of public NPPES fields. It is not affiliated with or endorsed by CMS, NPPES, Medicare, the American Medical Association, or the National Uniform Claim Committee. An NPI is an administrative identifier. Its presence here does not establish that a provider is licensed, credentialed, board certified, in good standing, accepting patients or insurance, employed by or affiliated with any organization, or currently practicing. Nothing on this page is medical, legal, or insurance advice.