Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Meadow Creek Healthcare LLC

Organization Medical Physician Assistant · NPI 1376835355

Meadow Creek Healthcare LLC is a Medical Physician Assistant in Eagle River, Alaska. Licensed in Alaska. Registered with an NPI since 2011.

Licensed in
AK
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16839 Park Place St Same
Eagle River, AK 99577-7819
Phone: (907) 694-3303
Fax: (907) 694-4773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 423 (AK)

Record details

NPI number1376835355
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Fenger — Owner · (907) 694-3303
Other names Meadow Creek Dermatology
NPI enumeratedMay 9, 2011
Last updated in NPPESMay 9, 2011
Mailing address16839 Park Place St, Same, Eagle River, AK 99577-7819

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