IOWA DERMATOLOGY CLINIC, PLC


Address: 1510 Sw Oralabor Rd Ste C, Ankeny, IA 50023-7147
Phone: 5159643467

IOWA DERMATOLOGY CLINIC, PLC (NPI# 1639541410) 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) 1639541410
Entity Type Organization
Organization Name IOWA DERMATOLOGY CLINIC, PLC
Other Organization Name RADIANT COMPLEXIONS DERMATOLOGY CLINIC
Practice Address 1510 Sw Oralabor Rd Ste C
Ankeny
IA 50023-7147
Mailing Address 1510 Sw Oralabor Rd
Suite C
Ankeny
IA 50023-7147
Practice Telephone 5159643467
Practice Fax Number 5159643672
Mailing Telephone 5159643467
Mailing Fax Number 5159643672
Enumeration Date 2015-10-20
Last Update Date 2018-06-12
Authorized Official Name MATTHEW DAVID SCHEMMEL (VICE PRESIDENT)
Authorized Official Telephone 5152263116
Is Organization Subpart Y
Parent Organization Name IOWA DERMATOLOGY CLINIC, PLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Radiant Complexions Dermatology Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1366916371 Iowa Dermatology Clinic, Plc Dermatology 3720 N Ankeny Blvd Ste 101, Ankeny, IA 50023-4605 2019-01-14
1083086862 Iowa Dermatology Clinic, Plc Dermatology 3729 86th St, Urbandale, IA 50322 2015-10-20
1932571965 Iowa Dermatology Clinic, Plc Dermatology 26 S 1st Ave, Suite 100, Marshalltown, IA 50158-5034 2015-10-29
1669844692 Iowa Dermatology Clinic, Plc Pathology 6000 University Ave Ste 350, West Des Moines, IA 50266-8219 2015-10-29
1508238395 Iowa Dermatology Clinic, Plc Dermatology 5921 Se 14th St, Suite 2500, Des Moines, IA 50320-1746 2015-10-20
1487026266 Iowa Dermatology Clinic, Plc Dermatology 2010 Philadelphia St, Suite 1, Ames, IA 50010-8784 2015-10-20

Office Location

Street Address 1510 SW ORALABOR RD STE C
City ANKENY
State IA
Zip Code 50023-7147

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NPI Name Taxonomy Address Enumeration
1356956916 Jennifer Cherop Cheruiyot Nurse Practitioner 215 Nw 18th St, Ankeny Ia 50023, Ankeny, IA 50023 2020-09-10
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1023663994 Janet Lynn Rieckhoff Counselor 1517 N. Ankeny Blvd, Suite D, Ankeny, IA 50023 2019-08-07
1790344158 Jacquelyn Olson Leech Counselor 2301 W. 1st Street, Ste 4, Ankeny, IA 50023 2019-06-10
1063077717 Benjamin Kohler Chiropractor 1201 Sw State St, Suite 101, Ankeny, IA 50023 2019-05-08
1831657857 Michael E Mcinroy Counselor 1609 N. Ankeny Blvd., Suite 210, Ankeny, IA 50023 2019-03-08
1396231825 Catherine Walters Counselor 1609 N. Ankeny Blvd, Suite 210, Ankeny, IA 50023 2018-07-09
1053804617 Ankeny Family Counseling Counselor 2301 W. 1st St. #4, Ankeny, IA 50023 2018-06-08
1952831521 Michael Weston Sinklier Family Medicine 1360 Nw 18th Street, Ste 102, Ankeny, IA 50023 2017-06-15
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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
1366916371 Iowa Dermatology Clinic, Plc Dermatology 3720 N Ankeny Blvd Ste 101, Ankeny, IA 50023-4605 2019-01-14

Providers in the same taxonomy and state

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
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
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
1548532864 Mid-iowa Dermatology, P. L. L. C. Dermatology 11 N 14th St, Fort Dodge, IA 50501-4241 2012-02-01
1710285341 Aesthetic Health and Wellness Dermatology 12129 University Ave, Suite 1000, Clive, IA 50325-8231 2011-03-07
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Competitor

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City ANKENY
Zip Code 50023

Improve Information

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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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