Mat-Su Dermatology, LLC in Palmer, AK
This organization bills under NPI 1063300580, an organization record issued on Jun 24, 2025 with the primary taxonomy MOHS-Micrographic Surgery Physician. Each clinician who works there has their own NPI and license.
Organization recordNPPES, Aug 2026
1063300580
- Legal name
- Mat-Su Dermatology, LLC
- Entity
- Type 2 · organization
- Primary taxonomy
- MOHS-Micrographic Surgery Physician 207ND0101X
- Practice location
- 2250 S WOODWORTH LOOP STE 101, Palmer, AK 99645
- Phone
- 907-745-7546
- Enumerated
- Jun 24, 2025
- Record updated
- Aug 20, 2025
- Authorized official
- Coo (title as filed)
3 clinicians CMS lists with Mat Su Dermatology in Palmer
- Ashley Smith, PAPhysician Assistant1548969413
- Robert Sorensen, MDDermatology Physician1073937835
- Hal Willardson, MDDermatology Physician1275924300
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Checking an organization
- Confirm the business with the Alaska secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
Common questions
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.