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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: August 09, 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
Phone(907) 694-3303
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.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.

CHERYL K FITZGERALD PA-C
Physician Assistant (Medical)
16839 PARK PLACE ST
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 694-3303
MEADOW CREEK HEALTHCARE LLC
Physician Assistant (Medical)
16839 PARK PLACE ST, SAME
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
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 Eagle River Dermatology Inc's NPI number?

The NPI number for Eagle River Dermatology Inc is 1750880654. It was assigned to this organization in the NPPES registry on February 6, 2018.

Where is Eagle River Dermatology Inc located?

Eagle River Dermatology Inc is located at 16839 Park Place St, Eagle River, AK 99577. The listed phone number is (907) 694-3303.

What is Eagle River Dermatology Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

What insurance does Eagle River Dermatology Inc accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Eagle River Dermatology Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eagle River Dermatology Inc was last updated on February 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.