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ADVANCED MEDICAL GROUP NPI 1184232670


NPI Information

NPI: 1184232670
Provider Name: ADVANCED MEDICAL GROUP

Doing Business As: ADVANCED DERMATOLGOY

Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
135 W DIMOND BLVD STE 104C
ANCHORAGE, AK
ZIP 99515
Phone: (907) 691-4977
Get Directions

ADVANCED MEDICAL GROUP is a dermatology in Anchorage, AK. The provider is 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. ADVANCED MEDICAL GROUP NPI is 1184232670. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Dermatolgoy.

The provider's business location address is:

135 W DIMOND BLVD STE 104C
ANCHORAGE, AK
ZIP 99515-907
Phone: (907) 691-4977
Fax: (907) 313-7450

The provider's authorized official is Marina Igorevna Lupas .
The authorized official title is Manager and has the following contact phone number (907) 691-4977.

The enumeration date for this NPI number is 7/21/2020 and was last updated on 1/28/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0900XDermatologyDermatopathologyNo
2207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyNo
3207NP0225XDermatologyPediatric DermatologyNo
4207NS0135XDermatologyProcedural DermatologyNo
5207Q00000XFamily MedicineNo
6207ND0101XDermatologyMOHS-Micrographic SurgeryNo
7261Q00000XClinic/CenterNo
8261QU0200XClinic/CenterUrgent CareNo
9207N00000XDermatologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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