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Arctic Physical Medicine Wasilla

NPI 1790184646ActiveOrganization· Family Medicine· Wasilla, AK

Family Medicine in Wasilla, Alaska, registered in NPPES in August 2014. The authorized official on file is Kyle T. Bergquist, Owner.

Overview

NPI1790184646
StatusActive
Entity typeOrganization
NPI issuedAug 16, 2014
Last updated in NPPESAug 16, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X1305AK

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Family Medicine providers in Wasilla

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