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

Michael D Michener, MD

Individual provider Dermatology Physician · NPI 1467448662

Michael D Michener, MD is a Dermatology in Anchorage, Alaska. Qualified in 1999, 27 years ago. Practices with Mountain West Derm - Blackhart PLLC, a 103-clinician group and accepts Medicare assignment. Licensed in Alaska and Illinois.

Years since qualifying
27
Licensed in
AK, IL
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3841 Piper St Ste T4-020
Anchorage, AK 99508-4673
Phone: (907) 646-8500
Fax: (907) 646-9760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 129488 (AK)
Dermatology Physician Taxonomy 207N00000X · Licence 036114135 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036-114135 (IL)

Record details

NPI number1467448662
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 22, 2005
Last updated in NPPESAugust 13, 2019
Mailing address3841 Piper St Ste T4-020, Anchorage, AK 99508-4673

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Mountain West Derm - Blackhart Pllc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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