Susan Louise Deo (NPI# 1356834113, PAC ID# 1658620216) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1356834113 |
| PAC ID by PECOS | 1658620216 |
| Professional Enrollment ID | I20180815003329 |
| Full Name | Susan Louise Deo |
| Organization Legal Name | IOWA DERMATOLOGY CLINIC PLC |
| Address |
3053 8th St Sw 200 Radiant Complexions Dermatology Cli Altoona IA 50009-1051 |
| Phone Number | 5152263116 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2961394713 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160083 | MERCY MEDICAL CENTER-DES MOINES |
| Address | Phone | Organization |
|---|---|---|
| 3053 8th St Sw, 200 Radiant Complexions Dermatology Cli, Altoona, IA 50009-1051 | 5152263116 | IOWA DERMATOLOGY CLINIC PLC |
| Organization Legal Name | IOWA DERMATOLOGY CLINIC PLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katelin Judith Hartmann | Nurse Practitioner | Iowa Dermatology Clinic Plc | 2913 5th Ave S, Fort Dodge, IA 50501-2923 |
| Abigail L Behrens | Nurse Practitioner | Iowa Dermatology Clinic Plc | 311 S Clark St, 280 Radiant Complexions Dermatology Cli, Carroll, IA 51401-3086 |
| Robin D Westrum | Nurse Practitioner | Iowa Dermatology Clinic Plc | 2105 Ingersoll Ave, Suite 101, Des Moines, IA 50312-5201 |
| Scott G Green | Dermatology | Iowa Dermatology Clinic Plc | 22 N 27th St, Radiant Complexions Dermatology Cli, Fort Dodge, IA 50501-4331 |
| Katherine A Blomgren | Physician Assistant | Iowa Dermatology Clinic Plc | 2010 Philadelphia St, Suite 1, Ames, IA 50010-8784 |
| Chad M Stocker | Internal Medicine | Iowa Dermatology Clinic Plc | 26 S 1st Ave, 100 Radiant Complexions Dermatology Clinic, Marshalltown, IA 50158-5032 |
| Charles W Love | Dermatology | Iowa Dermatology Clinic Plc | 6000 University Ave, Suite 350, West Des Moines, IA 50266-8219 |
| Alison M Metzger | Nurse Practitioner | Iowa Dermatology Clinic Plc | 311 S Clark St, 280 Radiant Complexions Dermatology Cli, Carroll, IA 51401-3086 |
| Rodney J Clark | Nurse Practitioner | Iowa Dermatology Clinic Plc | 5921 Se 14th St, 2500 Radiant Complexions Dermatology Clinic, Des Moines, IA 50320-1747 |
| Katie L Broshuis | Nurse Practitioner | Iowa Dermatology Clinic Plc | 2010 Philadelphia St, Suite 1, Ames, IA 50010-8784 |
| Street Address |
3053 8TH ST SW 200 RADIANT COMPLEXIONS DERMATOLOGY CLI |
| City | ALTOONA |
| State | IA |
| Zip | 50009-1051 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Scott Petersen | Physical Therapy | Athletico Ltd | 3160 8th St Sw, 1 Athletico Physical Therapy, Altoona, IA 50009-1023 |
| Amy Halfman | Physical Therapy | Eastern Iowa Therapeutics PC | 3160 8th St Sw Suites M and N, Altoona, IA 50009-1023 |
| Michael C Mcmahon | Physical Therapy | Athletico Ltd | 3160 8th St Sw, 1 Athletico Physical Therapy, Altoona, IA 50009-1023 |
| Amy J Jensen | Physical Therapy | Athletico Ltd | 3160 8th St Sw, 1 Athletico Physical Therapy, Altoona, IA 50009-1023 |
| Katie Denker | Physical Therapy | Athletico Ltd | 3160 8th St Sw, 1 Athletico Physical Therapy, Altoona, IA 50009-1023 |
| Jamie L Piotrowski | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2720 8th St Sw B, Unitypoint Clinic Physical Therapy Altoona, Altoona, IA 50009-1028 |
| Scott M Meyer | Physician Assistant | Iowa Physicians Clinic Medical Foundation | 2720 8th St Sw, Altoona, IA 50009-1028 |
| Mark R Adams | Physical Therapy | Younker Rehabilitation Therapy Services LLC | 2720 8th St Sw, Suite B, Altoona, IA 50009-1028 |
| Nicole C Hartz | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2720 8th St Sw, Family Medicine Altoona, Altoona, IA 50009-1028 |
| David M Gabel | Family Medicine | Iowa Physicians Clinic Medical Foundation | 2720 8th St Sw, Altoona, IA 50009-1028 |
| Find all physicians in zip 50009 | |||
| City | ALTOONA |
| Zip Code | 50009 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ALTOONA + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.