EAGLE RIVER DERMATOLOGY INC
NPI 1750880654
Dermatology in Eagle River, AK

Active since February 06, 2018
16839 PARK PLACE ST, EAGLE RIVER, AK 99577(907) 694-3303(907) 694-4773 Get Directions Write a Review

NPPES record last updated: February 6, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eagle River Dermatology Inc NPPES

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

EAGLE RIVER DERMATOLOGY INC (NPI 1750880654) is a healthcare organization registered as a dermatology in Eagle River, Alaska and active in the NPI registry since February 2018. The organization lists Lindsay Jay Proctor, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1750880654
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameEAGLE RIVER DERMATOLOGY INC
Location Address16839 PARK PLACE STEagle River, AK 99577
Mailing Address16839 Park Place StEagle River, AK 99577 · (907) 694-3303 · Fax (907) 694-4773
Fax(907) 694-4773
Organization SubpartNo
Authorized OfficialLindsay Jay ProctorOffice Manager · (907) 694-3303
Enumeration DateFebruary 6, 2018
NPI 1750880654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in AK · AK503
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

16839 PARK PLACE ST, Eagle River, AK 99577

Other Names 1

Doing Business AsEagle River Dermatology Inc

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

Accepted Insurance

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.

Physician Assistant
16839 PARK PLACE ST
EAGLE RIVER, AK 99577
Clinic/Center
16839 PARK PLACE ST
EAGLE RIVER, AK 99577
Physician Assistant (Medical)
16839 PARK PLACE ST, SAME
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 1750880654, enumerated as an "organization" on February 06, 2018.

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

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Moda Health Plan, Inc. and Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.