DR. SUSAN BARBARA PERRY (NPI# 1497754295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497754295 |
| Entity Type | Individual |
| Full Name | DR. SUSAN BARBARA PERRY |
| Credential | MD |
| Practice Address |
2535 Maplecrest Rd Suite 20 Bettendorf IA 52722-7709 |
| Practice Telephone | 5633321500 |
| Practice Fax Number | 5633321005 |
| Mailing Telephone | 5633321500 |
| Mailing Fax Number | 5633321005 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 4301044740 | IA | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 24610 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK BCBS | 22233 | 01 |
| IA | 0222331 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922356724 | Susan Jane Perry | Nurse Practitioner | 469 Centerville Rd., Suite 103, Warwick, RI 02886-4342 | 2012-08-27 |
| 1710036058 | Susan Lee Perry | Counselor | 5934 S Staples, Suite 206, Corpus Christi, TX 78413 | 2007-01-09 |
| 1972601854 | Susan C Perry | Licensed Practical Nurse | 18249 Matthews St, Riverview, MI 48193-7481 | 2006-09-21 |
| 1780786038 | Susan J Perry | Nurse Practitioner | 373 New Boston Road, Fall River, MA 02720-5814 | 2006-09-05 |
| 1841249315 | Susan Perry | Pharmacist | 9252 San Jose Blvd, Ste 3304, Jacksonville, FL 32257-9225 | 2006-05-10 |
| 1104802958 | Susan Ann Perry | Occupational Therapist | Klaras Children's Center Eci, 110 S. 12th Street, Waco, TX 76703-0890 | 2005-12-22 |
| 1841283207 | Susan J. Perry | Counselor | 620 Coronado Ave, Espanola, NM 87532-2725 | 2005-08-31 |
| 1073133039 | Susan Perry | Social Worker | 1181 Weaver Dairy Rd Ste 210, Chapel Hill, NC 27514-1870 | 2020-04-20 |
| 1447508841 | Susan Burdick Perry | Marriage & Family Therapist | 6305 Woodman Ave, Van Nuys, CA 91401-2346 | 2012-08-16 |
| 1336496652 | Susan Perry | Speech-Language Pathologist | 118 College Dr # 5215, Hattiesburg, MS 39406-0002 | 2012-08-06 |
| Street Address |
2535 MAPLECREST RD SUITE 20 |
| City | BETTENDORF |
| State | IA |
| Zip Code | 52722-7709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730184003 | Gena L.r. Benoit | Family Medicine | 2535 Maplecrest Rd, Ste 10, Bettendorf, IA 52722-2799 | 2005-06-14 |
| 1134590904 | Nancy A Greenwood | Physical Therapy Assistant | 2535 Maplecrest Rd, Suite 23, Bettendorf, IA 52722-7709 | 2015-10-19 |
| 1669705950 | Kristen Marie Mandle | Occupational Therapist | 2535 Maplecrest Rd, Bettendorf, IA 52722-7709 | 2009-09-17 |
| 1861627408 | Kathleen Elizabeth Powers | Physical Therapist | 2535 Maplecrest Rd, Suite 23, Bettendorf, IA 52722-7709 | 2009-05-27 |
| 1609001304 | Maria Teresa Ferrer | Physical Therapist | 2535 Maplecrest Rd, Suite 23, Bettendorf, IA 52722-7709 | 2009-05-26 |
| 1992962930 | Linda S Jones | Social Worker | 2535 Maplecrest Rd, Suite 26, Bettendorf, IA 52722-7709 | 2008-05-19 |
| 1659584597 | Abigail Olson Keibler | Speech-Language Pathologist | 2535 Maplecrest Rd, Bettendorf, IA 52722-7709 | 2007-05-07 |
| 1750485173 | Genesis Health System | Internal Medicine | 2535 Maplecrest Rd, Ste 10, Bettendorf, IA 52722-7709 | 2006-09-08 |
| 1235245465 | Ashley Katherine Binks | Occupational Therapist | 2535 Maplecrest Rd, Bettendorf, IA 52722-7709 | 2006-08-21 |
| 1467404491 | Genesis Health System | Home Health | 2535 Maplecrest Rd, Suite 27, Bettendorf, IA 52722-7709 | 2006-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
| 1558873315 | Erin M Kohrt | Speech-Language Pathologist | 2500 Grant Street, Bettendorf, IA 52722 | 2017-11-01 |
| 1437680295 | Holli Christine Martin | Chiropractor | 3048 Victoria St., Bettendorf, IA 52722 | 2017-03-23 |
| 1598219552 | Alyssa Renee Matz | Counselor | 2435 Kimberly Rd Ste 96, Bettendorf, IA 52722 | 2016-08-08 |
| 1144625021 | Athletico Ltd | Physical Therapist | 3252 Ridge Point, Bettendorf, IA 52722 | 2014-11-04 |
| 1609282862 | Katherine L Browne | Nurse Practitioner | 1351 Kimberly Rd Ste 100, Bettendorf, IA 52722 | 2014-07-09 |
| 1316357494 | Kayla Leigh Ehrman | Family Medicine | 2535 Maplecrest Rd Ste 16, Bettendorf, IA 52722 | 2014-04-29 |
| 1043648454 | Duane Anthony Halbur Jr. | Counselor | 2420 Salem Ct, Bettendorf, IA 52722 | 2013-10-22 |
| 1376881185 | Christopher D Murphy | Physical Therapist | 2300 53rd Ave Ll02, Bettendorf, IA 52722 | 2013-01-29 |
| 1326386574 | Kelly C Harry | Occupational Therapist | 3470 Utica Ridge Road, Suite 4, Bettendorf, IA 52722 | 2013-01-23 |
| Find all providers in zip 52722 | ||||
| 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 |
|---|---|---|---|---|
| 1033198395 | Manish G Kumar | Dermatology | 2880 Aaa Court, Bettendorf, IA 52722-3206 | 2006-01-13 |
| 1972955169 | State University of Iowa | Dermatology | 865 Lincoln Rd, Bettendorf, IA 52722-4190 | 2016-07-12 |
| 1942405808 | Eastern Iowa Dermatology Plc | Dermatology | 2880 Aaa Court, Bettendorf, IA 52722-3206 | 2007-06-19 |
| 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 | BETTENDORF |
| Zip Code | 52722 |
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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.