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MEADOW CREEK DERMATOLOGY
NPI 1376835355
Physician Assistant - Medical in Eagle River, AK

Active since May 09, 2011
16839 PARK PLACE ST, SAME, EAGLE RIVER, AK 99577(907) 694-3303(907) 694-4773 Get Directions Write a Review

NPPES record last updated: May 9, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Meadow Creek Dermatology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEADOW CREEK DERMATOLOGY (NPI 1376835355) is a healthcare organization registered as a medical in Eagle River, Alaska and active in the NPI registry since May 2011. The organization lists Thomas A Fenger, Owner, as its authorized official.

NPPES Registry Identity

NPI1376835355
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameMEADOW CREEK HEALTHCARE LLC
Location Address16839 PARK PLACE ST, SAMEEagle River, AK 99577-7819
Mailing Address16839 Park Place St, SameEagle River, AK 99577-7819 · (907) 694-3303 · Fax (907) 694-4773
Phone(907) 694-3303
Fax(907) 694-4773
Organization SubpartNo
Authorized OfficialThomas A FengerOwner · (907) 694-3303
Enumeration DateMay 9, 2011
✔ NPI 1376835355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AK · 423
16839 PARK PLACE ST, Eagle River, AK 99577
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Other Names 1

Doing Business AsMeadow Creek Dermatology

Other Identifiers 1

MedicaidMPG0123AK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHERYL K FITZGERALD PA-C
Physician Assistant (Medical)
16839 PARK PLACE ST
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 694-3303
DR. THOMAS A. FENGER PH.D., P.A.
Physician Assistant
16839 PARK PLACE ST
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 694-3303
EAGLE RIVER DERMATOLOGY INC
Dermatology
16839 PARK PLACE ST
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 694-3303
MEADOWCREEK HEALTHCARE
Clinic/Center
16839 PARK PLACE ST
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 694-3303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Meadow Creek Healthcare LLC's NPI number?

The NPI number for Meadow Creek Healthcare LLC is 1376835355. It was assigned to this organization in the NPPES registry on May 9, 2011. The provider is doing business as Meadow Creek Dermatology.

Where is Meadow Creek Healthcare LLC located?

Meadow Creek Healthcare LLC is located at 16839 Park Place St Same, Eagle River, AK 99577. The listed phone number is (907) 694-3303.

What is Meadow Creek Healthcare LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Meadow Creek Healthcare LLC was last updated on May 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.