GREATER DES MOINES DERMATOLOGY PC (NPI# 1730188160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730188160 |
| Entity Type | Organization |
| Organization Name | GREATER DES MOINES DERMATOLOGY PC |
| Practice Address |
2424 128th St Nw 128th Street Urbandale IA 50323-1816 |
| Practice Telephone | 5152438676 |
| Practice Fax Number | 5152430487 |
| Mailing Telephone | 5152438676 |
| Mailing Fax Number | 5152430487 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2008-03-24 |
| Authorized Official Name | DR. TIMOTHY GARTH ABRAHAMSON (CEO) |
| Authorized Official Telephone | 5152438676 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 33182 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0255075 | 05 |
| Street Address |
2424 128TH ST NW 128TH STREET |
| City | URBANDALE |
| State | IA |
| Zip Code | 50323-1816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861022568 | Jacob Anthony Lorsung | Dermatology | 2424 128th St, Urbandale, IA 50323-1816 | 2020-01-22 |
| 1245239623 | Timothy Garth Abrahamson | Dermatology | 2424 128th St, Nw 128th Street, Urbandale, IA 50323-1816 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750736138 | Iowa Family Solutions | Counselor | 14202 Goodman Dr., Urbandale, IA 50323 | 2016-05-04 |
| 1215158290 | Amanda Denine Bruett | Counselor | 3606 131, Urbandale, IA 50323 | 2007-05-01 |
| 1467943332 | Renee Michelle Herbers | Specialist/Technologist | 3719 132nd Cir, Urbandale, IA 50323-1707 | 2018-05-25 |
| 1265813521 | Lawson Family Dentistry, LLC | Dentist | 4444 128th St, Urbandale, IA 50323-1728 | 2015-06-12 |
| 1437420981 | Brooks Cristopher Newton | Chiropractor | 4456 128th St, Urbandale, IA 50323-1728 | 2012-01-14 |
| 1578070074 | Michael Shawn Henrichs Jr. | Chiropractor | 4456 128th St, Urbandale, IA 50323-1728 | 2018-01-05 |
| 1700395365 | Dentistry for Children of Iowa Pllc | Dentist | 2401 128th St, Urbandale, IA 50323-1816 | 2017-09-27 |
| 1942311527 | Christopher James Mcdonald | Dentist | 2400 128th St, Urbandale, IA 50323-1816 | 2006-08-31 |
| 1659729192 | Carolyn Renee Schulte | Counselor | 14202 Goodman Dr, Urbandale, IA 50323-1922 | 2016-05-25 |
| 1881946580 | Trurehab | Skilled Nursing Facility | 14433 Bryn Mawr Dr, Urbandale, IA 50323-2029 | 2012-10-05 |
| Find all providers in zip 50323 | ||||
| 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 |
|---|---|---|---|---|
| 1083086862 | Iowa Dermatology Clinic, Plc | Dermatology | 3729 86th St, Urbandale, IA 50322 | 2015-10-20 |
| 1861022568 | Jacob Anthony Lorsung | Dermatology | 2424 128th St, Urbandale, IA 50323-1816 | 2020-01-22 |
| 1245239623 | Timothy Garth Abrahamson | Dermatology | 2424 128th St, Nw 128th Street, Urbandale, IA 50323-1816 | 2005-07-19 |
| 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 |
| 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 |
| 1548532864 | Mid-iowa Dermatology, P. L. L. C. | Dermatology | 11 N 14th St, Fort Dodge, IA 50501-4241 | 2012-02-01 |
| Find all providers with the same taxonomy | ||||
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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.