JARED J ABBOTT (NPI# 1073598512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073598512 |
| Entity Type | Individual |
| Full Name | JARED J ABBOTT |
| Credential | M.D. |
| Practice Address |
1212 Pleasant Suite # Ll3 Des Moines IA 50309-1414 |
| Practice Telephone | 5152418861 |
| Practice Fax Number | 5152418855 |
| Mailing Telephone | 5152418861 |
| Mailing Fax Number | 5152418855 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2020-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD-37037 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 388654900 | 05 |
| Street Address |
1212 PLEASANT SUITE # LL3 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50309-1414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700884665 | Benjamin Lashar Hoch | Pathology | 1212 Pleasant, Suite #ll3, Des Moines, IA 50309-1414 | 2005-07-13 |
| 1912172776 | Tiffani Lynn Milless | Pathology | 1212 Pleasant, Suite #ll3, Des Moines, IA 50309-1414 | 2008-04-23 |
| 1528260650 | Sara B. Kilborn | Pathology | 1212 Pleasant, Suite #ll3, Des Moines, IA 50309-1414 | 2007-06-01 |
| 1346331428 | Ashok Rajaram Pradhan | Pathology | 1212 Pleasant, Ll3, Des Moines, IA 50309-1414 | 2006-09-27 |
| 1356432421 | Larry Joseph Heller | Pathology | 1212 Pleasant, #ll3, Des Moines, IA 50309-1414 | 2006-09-27 |
| 1265523336 | Edward Fredric Loeb | Pathology | 1212 Pleasant, #ll3, Des Moines, IA 50309-1414 | 2006-09-27 |
| 1174614242 | John Maurice Grzybowski | Pathology | 1212 Pleasant, #ll3, Des Moines, IA 50309-1414 | 2006-09-27 |
| 1316038490 | Richard Kent Scupham | Pathology | 1212 Pleasant, #ll3, Des Moines, IA 50309-1414 | 2006-09-27 |
| 1962510099 | Renee R Ellerbroek | Pathology | 1212 Pleasant, #ll3, Des Moines, IA 50309-1414 | 2006-08-28 |
| 1891803979 | Larry Walter Anderson | Pathology | 1212 Pleasant, #ll3, Des Moines, IA 50309-1414 | 2006-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126894 | Marie Danielle Leblanc | Surgery | Anna Blank Building, Level 2, Dept Pediatric Surgery, 1206 Pleasant Street, Des Moines, IA 50309 | 2020-05-27 |
| 1538710421 | Macy Mckendree | Social Worker | 918 Se 11th St., Des Moines, IA 50309 | 2019-09-23 |
| 1750938825 | Paradocs Psychological Services | Clinic/Center | 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 | 2019-08-22 |
| 1003315011 | Hyvacs, LLC | Durable Medical Equipment & Medical Supplies | 215 10th St Ste 110, Des Moines, IA 50309 | 2018-02-05 |
| 1770005746 | Jacob Michael Boyle | Chiropractor | 500 Sw 7th St Ste 205, Des Moines, IA 50309 | 2017-07-12 |
| 1831646140 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 309 Court Ave, Ste 811, Des Moines, Ia, 50309, Ste 811, Des Moines, IA 50309 | 2016-09-02 |
| 1457807000 | Patricia Bularzik | Social Worker | 808 5th Avenue, Des Moines, IA 50309 | 2016-09-01 |
| 1396128492 | Sarah Lynn Cavan | Social Worker | 1301 Center, Eyerly Ball Community Mental Health Center, Des Moines, IA 50309 | 2015-07-07 |
| 1104204056 | Andrea Lynn Jones | Social Worker | 600 E Court Ste 200, Des Moines, IA 50309 | 2015-05-12 |
| 1811388937 | Matthew Zirretta | Physical Therapist | 1515 Linden Street, 1st Floor, Integrated Physical Therapy & Sports Medicine, Des Moines, IA 50309 | 2015-02-11 |
| Find all providers in zip 50309 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427067214 | Iowa Dermatology Clinic Plc | Dermatology | 3613 Beaver Ave, Des Moines, IA 50310-3273 | 2006-08-08 |
| 1427618347 | Britt K Deruyter | Dermatology | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2019-06-13 |
| 1932604113 | Iowa Dermatology Clinic Plc | Dermatology | 2105 Ingersoll Ave Ste 101, Des Moines, IA 50312-5201 | 2018-03-28 |
| 1508238395 | Iowa Dermatology Clinic, Plc | Dermatology | 5921 Se 14th St, Suite 2500, Des Moines, IA 50320-1746 | 2015-10-20 |
| 1871607531 | Iowa Dermatology Clinic Plc | Dermatology | 5921 Se 14th St, Suite 2500, Des Moines, IA 50320-1746 | 2006-08-19 |
| 1750332284 | Mirza Baig | Dermatology | 3520 Beaver Ave, Suite G, Des Moines, IA 50310-3264 | 2006-05-12 |
| 1396739850 | John William Holtze | Dermatology | 1221 Pleasant St, Ste 500, Des Moines, IA 50309 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730705385 | Iowa Dermatology Consultants, Pllc | Dermatology | 974 73rd St Unit 39&40, West Des Moines, IA 50265-1024 | 2020-06-19 |
| 1558909572 | Iowa Dermatology Clinic Plc | Dermatology | 1895 Se Grimes Blvd., Ste. 103, Grimes, IA 50111-1277 | 2019-12-20 |
| 1134781842 | Iowa Dermatology Clinic Plc | Dermatology | 311 S Clark St Ste 280, Carroll, IA 51401-3086 | 2019-07-02 |
| 1366916371 | Iowa Dermatology Clinic, Plc | Dermatology | 3720 N Ankeny Blvd Ste 101, Ankeny, IA 50023-4605 | 2019-01-14 |
| 1972023414 | Iowa Dermatology Clinic Plc | Dermatology | 9500 University Ave Ste 1114, West Des Moines, IA 50266-1745 | 2017-06-26 |
| 1275998692 | Skinspa LLC | Dermatology | 9350 University Ave Ste 132, West Des Moines, IA 50266-1648 | 2015-12-30 |
| 1083086862 | Iowa Dermatology Clinic, Plc | Dermatology | 3729 86th St, Urbandale, IA 50322 | 2015-10-20 |
| 1639541410 | Iowa Dermatology Clinic, Plc | Dermatology | 1510 Sw Oralabor Rd Ste C, Ankeny, IA 50023-7147 | 2015-10-20 |
| 1760870851 | Forefront Dermatology, S.c. | Dermatology | 202 10th Street, Sw, Suite 290, Cedar Rapids, IA 52403 | 2014-12-26 |
| 1982942702 | Iowa Dermatology Clinic Plc | Dermatology | 26 S 1st Ave, Suite 100, Marshalltown, IA 50158-5032 | 2013-01-29 |
| Find all providers with the same taxonomy | ||||
| City | DES MOINES |
| Zip Code | 50309 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.