Kimberly J Wonderlich MD Faad Dermatology LLC
NPI 1396124897ActiveOrganization· Dermatology· Fairbanks, AK
Dermatology in Fairbanks, Alaska, registered in NPPES in May 2015. The authorized official on file is Kimberly Wonderlich, Managing Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396124897 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 29, 2015 |
| Last updated in NPPES | Feb 13, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 8102 | AK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AK) |
|---|
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