MICHAEL D MICHENER (NPI# 1467448662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467448662 |
| Entity Type | Individual |
| Full Name | MICHAEL D MICHENER |
| Credential | MD |
| Practice Address |
3841 Piper St Ste T4-020 Anchorage AK 99508-4673 |
| Practice Telephone | 9076468500 |
| Practice Fax Number | 9076469760 |
| Mailing Telephone | 9076468500 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2019-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 129488 | AK | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 036114135 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036-114135 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
3841 PIPER ST STE T4-020 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-4673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670088 | Mountain West Derm - Blackhart Pllc | Dermatology | 3841 Piper St Ste T4-020, Anchorage, AK 99508-4673 | 2019-07-11 |
| 1477818680 | Pamela M Haughom | Physician Assistant | 3841 Piper St Ste T4-020, Anchorage, AK 99508-4673 | 2012-07-13 |
| 1104850460 | Stephanie Ann Mcleish | Dermatology | 3841 Piper St Ste T4-020, Anchorage, AK 99508-4673 | 2006-07-10 |
| 1790712842 | Robert Franklin Moreland Jr. | Dermatology | 3841 Piper St Ste T4-020, Anchorage, AK 99508-4673 | 2006-06-26 |
| 1437130044 | Jeffrey Joseph Bidinger | Dermatology | 3841 Piper St Ste T4-020, Anchorage, AK 99508-4673 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| 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 |
| 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 |
| 1265705933 | Blake Galler | Dermatology | 1201 N Muldoon Rd, Anchorage, AK 99504-6104 | 2012-02-10 |
| 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.