HOBART W WALLING (NPI# 1477506814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477506814 |
Entity Type | Individual |
Full Name | HOBART W WALLING |
Credential | M.D. |
Practice Address |
1100 6th St Suite 202 Coralville IA 52241-1755 |
Practice Telephone | 3193374566 |
Practice Fax Number | 3193374766 |
Mailing Telephone | 3193374566 |
Mailing Fax Number | 3193374766 |
Enumeration Date | 2006-05-18 |
Last Update Date | 2007-10-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
35094 | IA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0466557 | 05 | |
IA | NPI GROUP | 19-52331605 | 01 |
IA | MEDICARE GROUP | I11551 | 01 |
Street Address |
1100 6TH ST SUITE 202 |
City | CORALVILLE |
State | IA |
Zip Code | 52241-1755 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578560264 | Walter Scott Schaeffer | Chiropractor | 1100 6th St, Suite 204, Coralville, IA 52241-1755 | 2005-07-07 |
1194027367 | Ts Dermatology, Pllc | Dermatology | 1100 6th St, Suite 202, Coralville, IA 52241-1755 | 2010-11-22 |
1639316920 | Esser Wellness L.L.C. | Chiropractor | 1100 6th St, Suite 204, Coralville, IA 52241-1755 | 2009-01-08 |
1780859991 | Scott Michael Esser | Chiropractor | 1100 6th St, Suite 204, Coralville, IA 52241-1755 | 2008-04-29 |
1174679955 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1100 6th St, Suite 201, Coralville, IA 52241-1755 | 2007-01-26 |
1952331605 | Kimberly K. Schulz | Dermatology | 1100 6th St, Suite 202, Coralville, IA 52241-1755 | 2006-07-05 |
1730128653 | Kristi Robson | Specialist | 1100 6th St, Suite 202, Coralville, IA 52241-1755 | 2006-06-06 |
1811967219 | Jody Kathleen Mckee | Physician Assistant | 1100 6th St, Suite 202, Coralville, IA 52241-1755 | 2006-01-26 |
1225017718 | Kimberly K Schulz | Specialist | 1100 6th St, 202, Coralville, IA 52241-1755 | 2006-01-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780281915 | Impact Physician Group Iowa LLC | Internal Medicine | 2801 Heartland Dr, Coralville, IA 52241 | 2020-10-01 |
1114550886 | Encompass Health Rehabilitation Hospital of Iowa City, LLC | Rehabilitation Hospital | 2450 Coral Court, Coralville, IA 52241 | 2020-02-20 |
1215575394 | Eastern Iowa Rehabilitation Hospital, LLC | Rehabilitation Hospital | 2801 Heartland Drive, Coralville, IA 52241 | 2019-12-19 |
1851938690 | Matthew Easley | Speech-Language Pathologist | 2854 Coral Court, Ste 1, On With Life Outpatient Neuro Rehabilitation, Coralville, IA 52241 | 2019-11-27 |
1245892629 | On With Life, Inc | Clinic/Center | 2854 Coral Court, Suite 1, Coralville, IA 52241 | 2019-07-05 |
1376024869 | Hy Vee Inc | Pharmacy | 3285 Crosspark Road, Coralville, IA 52241 | 2018-08-23 |
1861996191 | Roggy Vision Center, Pllc | Optometrist | 708 5th St Ste 1, Coralville, IA 52241 | 2018-03-21 |
1013446467 | Monica Basile | Midwife | 501 12th Ave, St 102, Coralville, IA 52241 | 2017-06-08 |
1568893121 | Mohamed Karim | Chiropractor | 1801 Brown Deer Trail, Coralville, IA 52241 | 2013-12-09 |
1689011405 | Nicole Ann Wagaman | Family Medicine | 2801 Heartland Dr., Coralville, IA 52241 | 2013-06-03 |
Find all providers in zip 52241 |
Taxonomy Code | 207ND0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | MOHS-Micrographic Surgery |
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912103979 | Dermatology Associates LLP | Dermatology | 501 12th Ave, Suite 101, Coralville, IA 52241-1774 | 2007-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922245638 | John Perrotto, D.o., P.a. | Dermatology | 5910 Ashworth Rd # 134, West Des Moines, IA 50266-7108 | 2009-01-16 |
1477076628 | Forefront Dermatology, S.c. | Dermatology | 12327 Stratford Dr, Clive, IA 50325 | 2017-07-19 |
1316342611 | Forefront Dermatology, S.c. | Dermatology | 202 10th St Se Ste 270, Cedar Rapids, IA 52403 | 2014-10-29 |
1346403755 | Kent P Ellerbroek Md PC | Dermatology | 541 King Dr, Waterloo, IA 50702-5959 | 2008-07-07 |
1992758122 | Roger I Ceilley | Dermatology | 6000 University Ave, Suite 450, West Des Moines, IA 50266-8203 | 2006-05-18 |
1790736353 | Dermatology, PC | Dermatology | 6000 University Ave, Suite 450, West Des Moines, IA 50266-8203 | 2006-05-16 |
City | CORALVILLE |
Zip Code | 52241 |
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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.