Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Pamela M Haughom, PA-C

Individual provider Surgical Physician Assistant · NPI 1477818680

Pamela M Haughom, PA-C is a Physician Assistant in Anchorage, Alaska. Qualified in 2012, 14 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
14
Licensed in
AK, IL
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 120423 (AK)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085-004350 (IL)

Record details

NPI number1477818680
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 13, 2012
Last updated in NPPESAugust 13, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mountain West Derm - Blackhart Pllc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Anchorage