MRS. STACY M KIRBY


Address: 1815 - 1st Ave Se, Suite 200, Cedar Rapids, IA 52402-5417
Phone: 3193630474

MRS. STACY M KIRBY (NPI# 1235393851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235393851
Entity Type Individual
Full Name MRS. STACY M KIRBY
Credential PA-C
Practice Address 1815 - 1st Ave Se
Suite 200
Cedar Rapids
IA 52402-5417
Practice Telephone 3193630474
Practice Fax Number 3193632170
Mailing Telephone 3193630474
Mailing Fax Number 3193632170
Enumeration Date 2008-07-13
Last Update Date 2013-08-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 001929 IA Allopathic & Osteopathic Physicians
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IA 1962610725 05

Other Providers STACY KIRBY

NPI Name Taxonomy Address Enumeration
1770064446 Stacy Renea Kirby Physical Therapist 1803 E Us Highway 243, Kaufman, TX 75142-4118 2018-08-22
1417304304 Stacy Kirby Specialist/Technologist, Other 1945 Scottsville Rd, B2 Pmb 397, Bowling Green, KY 42104-3376 2016-05-20

Office Location

Street Address 1815 - 1ST AVE SE
SUITE 200
City CEDAR RAPIDS
State IA
Zip Code 52402-5417

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639790520 Sara Ann Rausch Counselor 1533 1 Ave Se, Cedar Rapids, IA 52402 2020-05-01
1558995589 Jennifer Christine Hohneke Nurse Practitioner St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 2020-02-28
1073008314 Benjamin Randall Groth Optometrist 576 Boyson Rd Ne Ste 104, Cedar Rapids, IA 52402 2018-06-28
1992228621 Synona Culbertson Counselor 4403 1st Ave Ne, Suite L15, Cedar Rapids, IA 52402 2017-07-25
1083136410 Compassion North America Home Health Services Corp Hospice Care, Community Based 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 2017-07-07
1861819732 Arj Infusion Services, Inc. Home Infusion 1847 First Ave Se, Suite 100, Cedar Rapids, IA 52402 2014-03-27
1639475197 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 4444 1st Ave Ne Ste 575, Cedar Rapids, IA 52402 2011-02-01
1437452919 Empowering Families Inc Early Intervention Provider Agency 5005 Blairsforest Way, Cedar Rapids, IA 52402 2010-12-06
1184937476 Jennifer Becker Counselor 3745 Center Point Rd Ne Ste A, Cedar Rapids, IA 52402 2010-07-15
1215179817 William H Fletcher Hearing Instrument Specialist 3741 Center Point Rd Ne, Cedar Rapids, IA 52402 2009-03-27
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760870851 Forefront Dermatology, S.c. Dermatology 202 10th Street, Sw, Suite 290, Cedar Rapids, IA 52403 2014-12-26
1932410867 Ashlynne Harris Clark Dermatology 202 10th St Se Ste 270, C/o PCi Medical Pavillion, Cedar Rapids, IA 52403-2414 2010-06-25
1104451749 Epiphany Dermatology of Iowa, Plc Dermatology 716 5th Ave Se, Cedar Rapids, IA 52401-1916 2020-03-04
1194176586 Paul Fenton Dermatology 202 10th St Se Ste 270, Cedar Rapids, IA 52403-2420 2016-06-27
1033583364 State University of Iowa Dermatology 411 10th St Se, Ste 1200, Cedar Rapids, IA 52403-2442 2015-11-24
1033554498 Matthew John Landherr Dermatology 202 10th St Se Ste 270, Cedar Rapids, IA 52403-2420 2013-04-29
1912240565 Forefront Dermatology, S.c. Dermatology 855 A Ave Ne Ste 120, C/o St. Lukes Medical Plaza, Cedar Rapids, IA 52402-5062 2013-04-02
1306071915 Thomas Allen Pietras Dermatology 855 A Avenue Ne, St. Lukes Medical Plaza, Suite 120, Cedar Rapids, IA 52402-5062 2009-05-27
1720025414 David Lowell Knutson II Dermatology 1815 1st Ave Se, Suite 200, Cedar Rapids, IA 52402-5417 2006-06-01
1629051297 Robert John Barry Dermatology 1030 5th Ave Se, Cedar Rapids, IA 52403-2464 2005-11-28
Find all providers in CEDAR RAPIDS

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City CEDAR RAPIDS
Zip Code 52402

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Dataset Information

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.

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