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

Dr. Jerome O List, DDS, MD

Individual provider Otolaryngology Physician · NPI 1093776080

Dr. Jerome O List, DDS, MD is an Otolaryngology in Eagle River, Alaska. Qualified in 1984, 42 years ago. Practices with United Health Services Hospitals, Inc, a 472-clinician group and accepts Medicare assignment. Licensed in Alaska and New York.

Years since qualifying
42
Licensed in
AK, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

12641 Old Glenn Hwy Ste 201
Eagle River, AK 99577-7040
Phone: (907) 561-1421
Fax: (907) 561-0327
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 2607 (AK)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 329599 (NY)

Record details

NPI number1093776080
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MD
Sole proprietorNo
NPI enumeratedMarch 29, 2006
Last updated in NPPESApril 30, 2024
Certification dateMarch 11, 2024
Mailing address3831 Piper St Ste S433, Anchorage, AK 99508-6900

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice United Health Services Hospitals, Inc. — 472 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount