DR. BLAKE GALLER (NPI# 1265705933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265705933 |
| Entity Type | Individual |
| Full Name | DR. BLAKE GALLER |
| Credential | D.O. |
| Practice Address |
1201 N Muldoon Rd Anchorage AK 99504-6104 |
| Mailing Address |
3000 Custer Rd. Ste 270 #1592 Plano TX 75075-4427 |
| Practice Telephone | 9072573748 |
| Mailing Telephone | 8179035886 |
| Mailing Fax Number | 6163269762 |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2020-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 1090 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
1201 N MULDOON RD |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99504-6104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982693586 | Joseph Vincent Pace | Psychiatry & Neurology | 1201 N Muldoon Rd, Sbhs, Anchorage, AK 99504-6104 | 2005-10-17 |
| 1124628110 | Kathryn May Fulmer | Social Worker | 1201 N Muldoon Rd, Anchorage, AK 99504-6104 | 2020-10-28 |
| 1073128575 | Priscilla Harris | Licensed Practical Nurse | 1201 N Muldoon Rd, Anchorage, AK 99504-6104 | 2020-09-11 |
| 1659912178 | Rachel Ellinger | Audiologist | 1201 N Muldoon Rd, Anchorage, AK 99504-6104 | 2019-10-06 |
| 1639729502 | Katherine Ellen Green | Social Worker | 1201 N Muldoon Rd, Anchorage, AK 99504-6104 | 2019-09-12 |
| 1801358916 | Jenise Lanae Perry | Social Worker | 1201 N Muldoon Rd, Anchorage, AK 99504-6104 | 2019-04-05 |
| 1750854493 | Elizabeth Marie Sobotka | Social Worker | 1201 N Muldoon Rd, Anchorage, AK 99504-6104 | 2019-01-04 |
| 1245701721 | Geraldine Marie Rouse | Social Worker | 1201 N Muldoon Rd, Anchorage, AK 99504-6104 | 2018-12-10 |
| 1851861561 | Erin Renae Picado | Social Worker | 1201 N Muldoon Rd, Anchorage, AK 99504-6104 | 2018-11-26 |
| 1780169094 | Michael Kristopher Frazier | Pharmacist | 1201 N Muldoon Rd, Anchorage, AK 99504-6104 | 2018-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011593 | Deyoung Dentistry, LLC | Clinic/Center | 2601 Boniface Parkway Suite 1, Anchorage, AK 99504 | 2020-07-29 |
| 1881257475 | Tirzah Shelton | Psychologist | Veteran Affairs Clinic, 1201 North Muldoon, Anchorage, AK 99504 | 2019-04-18 |
| 1831651652 | Mekennah Ward | Massage Therapist | 7731 Northern Lights Blvd, #220, Anchorage, AK 99504 | 2019-04-01 |
| 1952883266 | Quality & Quantity Care Services LLC | Custodial Care Facility | 848 Elaine Dr, Anchorage, Ak, 99504, The Same, Anchorage, AK 99504 | 2018-09-04 |
| 1659858587 | Chloe Janelle Escalante | Psychologist | 511 Oaklahoma St., Apt 2, Anchorage, AK 99504 | 2018-07-24 |
| 1184100141 | Haa LLC | Durable Medical Equipment & Medical Supplies | 1409 Twining Dr, Anchorage, AK 99504 | 2018-07-12 |
| 1831626225 | Christian Wilfred, Thomas Garrett | Social Worker | 1201 N Mulddon Rd, Anchorage, AK 99504 | 2017-05-16 |
| 1609309954 | Rowena R Jones | Assisted Living Facility | 4009 Scenic View, Anchorage, AK 99504 | 2017-04-04 |
| 1982156733 | Agape Care Coordination LLC | Case Manager/Care Coordinator | 2050 Paxson Dr., Anchorage, AK 99504 | 2016-10-27 |
| 1649626169 | Pa Lou Vang | Registered Nurse | 7404 E 4th Ave Unit B, Anchorage, AK 99504 | 2016-05-13 |
| Find all providers in zip 99504 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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. |
| 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 |
| 1609420215 | Anchorage Dermatology & Cosmetics, LLC | Dermatology | 615 E 82nd Ave Ste 204, Anchorage, AK 99518-3159 | 2019-07-31 |
| 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 |
| Find all providers in ANCHORAGE | ||||
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| 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.