ANCHORAGE DERMATOLOGY & COSMETICS, LLC


Address: 615 E 82nd Ave Ste 204, Anchorage, AK 99518-3159
Phone: 9078658455

ANCHORAGE DERMATOLOGY & COSMETICS, LLC (NPI# 1609420215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609420215
Entity Type Organization
Organization Name ANCHORAGE DERMATOLOGY & COSMETICS, LLC
Practice Address 615 E 82nd Ave Ste 204
Anchorage
AK 99518-3159
Practice Telephone 9078658455
Practice Fax Number 9078658464
Mailing Telephone 9078658455
Mailing Fax Number 9132464901
Enumeration Date 2019-07-31
Last Update Date 2020-03-18
Authorized Official Name DR. COURTNEY WEATHERSBY BAGAYOKO (AUTHORIZED OFFICIAL)
Authorized Official Telephone 6263533885
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology Allopathic & Osteopathic Physicians

Office Location

Street Address 615 E 82ND AVE STE 204
City ANCHORAGE
State AK
Zip Code 99518-3159

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689667586 Roy E Howard Physician Assistant 615 E 82nd Ave Ste 204, Anchorage, AK 99518-3159 2005-08-25
1235472176 Courtney Weathersby Bagayoko Dermatology 615 E 82nd Ave Ste 204, Anchorage, AK 99518-3159 2013-03-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871952648 Daniel & Max, LLC Optometrist 8300 Homer Drive, Anchorage, AK 99518 2016-02-22
1093133266 Bidney Turner Registered Nurse 8130 Old Sweard Highway, Suite #103, Anchorage, AK 99518 2014-04-03
1407271265 Diane Clare Espinosa Speech-Language Pathologist 708 Blackburn Ct., Anchorage, AK 99518 2014-03-03
1366865859 Infinite Care of Alaska LLC Home Health 165 East 56th Ave., Suite #3, Anchorage, AK 99518 2014-02-04
1669712477 Medical Services Durable Medical Equipment & Medical Supplies 5401 North Star St, Anchorage, AK 99518 2013-02-15
1346503364 Eric Mellor Larsen Social Worker 5308 Northstar St, Anchorage, AK 99518 2012-06-25
1245443662 Wisdom Traditions Wellness, LLC Acupuncturist 615 E 82nd Avenue Suite B-5, Suite #17, Anchorage, AK 99518 2007-05-08
1902929813 Stannealh Inc. 2 Residential Treatment Facility, Physical Disabilities 7452 Nathan Dr., Anchorage, AK 99518 2007-04-06
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1922172022 Mark E Silverman Dentist 7926 Old Seward Hwy, Ste B7, Anchorage, AK 99518 2006-11-20
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy 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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932493327 John Schultz Dermatology 8501 Sultana Dr, Anchorage, AK 99516-2561 2011-06-03
1295881977 Gina M Brown Dermatology 3340 Providence Dr Ste A358, Anchorage, AK 99508-4691 2007-01-26
1649212937 Michael L Cusack Dermatology 110 W 38th Ave Ste A2, Anchorage, AK 99503-5677 2006-06-12
1154363752 Aesthetica Medical Spa LLC Dermatology 110 W 38th Ave, Ste A2, Anchorage, AK 99503-5650 2006-06-11
1114998473 Jayne S Fortson, Md Dermatology 2401 E 42nd Ave, Ste 301, Anchorage, AK 99508-5205 2006-01-26
1467448662 Michael D Michener Dermatology 3841 Piper St Ste T4-020, Anchorage, AK 99508-4673 2005-09-22
1124670088 Mountain West Derm - Blackhart Pllc Dermatology 3841 Piper St Ste T4-020, Anchorage, AK 99508-4673 2019-07-11
1235472176 Courtney Weathersby Bagayoko Dermatology 615 E 82nd Ave Ste 204, Anchorage, AK 99518-3159 2013-03-28
1255693578 Kristin L Eastman Dermatology 9500 Independence Dr Ste 900, Anchorage, AK 99507-4686 2012-06-12
1265705933 Blake Galler Dermatology 1201 N Muldoon Rd, Anchorage, AK 99504-6104 2012-02-10
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City ANCHORAGE
Zip Code 99518

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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