National Provider Identifier Database

JEROME O LIST, D.D.S., M.D. – NPI #1093776080
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.


Contact Information

JEROME O LIST, D.D.S., M.D.
12641 OLD GLENN HWY STE 201
EAGLE RIVER, AK99577-7040
Phone: 907-561-1421
Fax: 907-561-0327
Website:
Specialty Taxonomy Code
* Otolaryngology 207Y00000X

* Indicates primary specialty

NPI Profile & details for JEROME O LIST

NPI Number 1093776080
Credentials D.D.S., M.D.
Entity Individual
Enumeration date 03/29/2006
Last updated 04/30/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • AK License #: 2607
  • NY License #: 329599
  • AK Medicaid: MD1123
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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