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

NPI Status: Active since May 09, 2011

Contact Information

16839 PARK PLACE ST
SAME
EAGLE RIVER, AK
ZIP 99577
Phone: (907) 694-3303
Fax: (907) 694-4773

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  • Organization
  • Physician Assistant
  • Medical

About MEADOW CREEK DERMATOLOGY

This page provides the complete NPI Profile along with additional information for Meadow Creek Dermatology, a primary care provider established in Eagle River, Alaska operating as a Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1376835355 assigned on May 2011. The practitioner's primary taxonomy code is 363AM0700X with license number 423 (AK). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Meadow Creek Dermatology. The authorized official of this NPI record is Thomas A Fenger Ph.d, P.a. (Owner)

NPI
1376835355
Provider Legal Name
MEADOW CREEK HEALTHCARE LLC
Other Organization Name
MEADOW CREEK DERMATOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
16839 PARK PLACE ST SAME EAGLE RIVER, AK 99577
Location Phone
(907) 694-3303
Location Fax
(907) 694-4773
Mailing Address
16839 PARK PLACE ST SAME EAGLE RIVER, AK 99577
Mailing Phone
(907) 694-3303
Mailing Fax
(907) 694-4773
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-09-2011
Last Update Date
05-09-2011
Code Navigator

A primary care provider (PCP) like Meadow Creek Dermatology sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
423
License State
AK

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

THOMAS A FENGER PH.D, P.A.

Authorized Official Title
OWNER
Authorized Official Phone
(907) 694-3303

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
MPG0123MEDICAID (05)AK 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1376835355, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 8 → 16 → 7 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 4 + 6 + 1 + 6 + 3 + 1 + 0 + 3 + 1 + 0 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1376835355.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Physician Assistant
16839 PARK PLACE ST
EAGLE RIVER, AK 99577
Clinic/Center
16839 PARK PLACE ST
EAGLE RIVER, AK 99577
Dermatology
16839 PARK PLACE ST
EAGLE RIVER, AK 99577
Physician Assistant (Medical)
16839 PARK PLACE ST
EAGLE RIVER, AK 99577

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376835355, enumerated as an "organization" on May 09, 2011.

The provider is located at 16839 PARK PLACE ST SAME EAGLE RIVER, AK 99577 and the phone number is (907) 694-3303.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.