Advanced Dermatology of Alaska LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ADVANCED DERMATOLOGY OF ALASKA LLC

Practice address

3066 E Meridian Park Loop
Wasilla, AK 99654-7254

Phone

(907) 357-2332

NPI assigned

Sep 29, 2025

Last updated

Mar 25, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Blake Galler, DONPI 1265705933

Title

Owner

Phone

(817) 903-5886

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Advanced Dermatology of Alaska LLC

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Blake Galler, D.O.

  • Dermatology Physician
  • Wasilla, AK
  • NPI 1265705933
  Medicare reassignment Care Compare group NPD Authorized official
• Sean Edward Allworth, PA-C

  • Physician Assistant
  • Anchorage, AK
  • NPI 1487310769
  Medicare reassignment Care Compare group
• Savanna L Simmerman, PA-C

  • Medical Physician Assistant
  • Wasilla, AK
  • NPI 1154142271
  Medicare reassignment Care Compare group
• Jacob Thompson, PA, MILITARY

  • Physician Assistant
  • Wasilla, AK
  • NPI 1730805540
  Medicare reassignment Care Compare group
• Andrew Spiros Dorizas, M.D.

  • Dermatology Physician
  • West Palm Beach, FL
  • NPI 1336506260

  AK

  Medicare reassignment Care Compare group
• Allyson Beth Galler, PA-C

  • Physician Assistant
  • Anchorage, AK
  • NPI 1033450382
  Medicare reassignment
• Samantha Nikol Miner, PA-C

  • Physician Assistant
  • Wasilla, AK
  • NPI 1871450676
  Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1760356208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E DIMOND BLVD STE 103",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152001",
            "telephone_number": "907-232-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3066 E MERIDIAN PARK LOOP",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547254",
            "telephone_number": "907-357-2332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 E Dimond Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995152001",
            "country_code": "US",
            "telephone_number": "907-267-5890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED DERMATOLOGY OF ALASKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-29",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "GALLER",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-903-5886",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1762181",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brigid Adamson, DDS
• Christine Louise Aderhold
• Molly Louise Adkins
• Myra Adney
• Adonai Diabetes and Endocrinology Center
• Advanced Family Dentistry
• Advanced Neuro Solutions
• Advanced Wellness Infusion Center, LLC (Hydrate Alaska)
• Adventures in Pediatrics, LLC
• Kameah Dawn Aebischerlike

• Dermatology Physician in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Dermatology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.