OrganizationActive
Meadow Creek Healthcare LLC
NPI 1376835355 · Medical Physician Assistant · Eagle River, AK
Provider details
- NPI number
- 1376835355
- Entity type
- Organization
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Thomas Fenger, Owner(907) 694-3303
- License
- 423 (AK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16839 Park Place St
Same
Eagle River, AK 99577-7819
Phone: (907) 694-3303
Fax: (907) 694-4773
Street-level locationGet directions
Mailing address
16839 Park Place St
Eagle River, AK 99577-7819
Other names (DBA / former)
- Doing business as
- Meadow Creek Dermatology
Registry dates
- Enumerated
- 2011-05-09
- Last updated
- 2011-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.