Scott G Green (NPI# 1760454821, PAC ID# 8628112893) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1760454821 |
| PAC ID by PECOS | 8628112893 |
| Professional Enrollment ID | I20100225000846 |
| Full Name | Scott G Green |
| Organization Legal Name | IOWA DERMATOLOGY CLINIC PLC |
| Address |
22 N 27th St Radiant Complexions Dermatology Cli Fort Dodge IA 50501-4331 |
| Phone Number | 5159554440 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2961394713 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160064 | MERCY MEDICAL CENTER-NORTH IOWA |
| Address | Phone | Organization |
|---|---|---|
| 1015 Union St, Boone, IA 50036-4821 | 5154338300 | MID-IOWA DERMATOLOGY PLLC |
| 311 S Clark St, Carroll, IA 51401-3038 | 7127945073 | MID-IOWA DERMATOLOGY PLLC |
| 22 N 27th St, Radiant Complexions Dermatology Cli, Fort Dodge, IA 50501-4331 | 5159554440 | IOWA DERMATOLOGY CLINIC PLC |
| 22 N 27th St, Fort Dodge, IA 50501-4331 | 5159554440 | MID-IOWA DERMATOLOGY PLLC |
| 1351 W Main St, Lake City, IA 51449-1585 | 7124647907 | MID-IOWA DERMATOLOGY PLLC |
| 1421 4th St Sw, Mercy Dermatology Center, Mason City, IA 50401-2736 | 6414282080 | NORTH IOWA MERCY CLINICS |
| 606 Nw 7th St, Pocahontas, IA 50574-1028 | 7123353501 | MID-IOWA DERMATOLOGY PLLC |
| Organization Legal Name | IOWA DERMATOLOGY CLINIC PLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Louise Deo | Nurse Practitioner | Iowa Dermatology Clinic Plc | 3053 8th St Sw, 200 Radiant Complexions Dermatology Cli, Altoona, IA 50009-1051 |
| 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 |
| 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 |
22 N 27TH ST RADIANT COMPLEXIONS DERMATOLOGY CLI |
| City | FORT DODGE |
| State | IA |
| Zip | 50501-4331 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jean Paul Haulard | Podiatry | 1536 20th N Ave, Bickford of Fort Dodge, Fort Dodge, IA 50501 | |
| Glenna R Nockels | Clinical Social Worker | Catholic Charities of The Diocese of Sioux City | 1200 3rd Ave Nw, Suite 1, Fort Dodge, IA 50501-2207 |
| Sarah Kelly Jensen | Nurse Practitioner | Trinity Regional Medical Center | 2721 10th Ave N, Fort Dodge Villa Care Center, Fort Dodge, IA 50501-2834 |
| Daniel J Cole | Family Practice | Trinity Regional Medical Center | 925 Martin Luther King Dr, Fort Dodge, IA 50501-2866 |
| Katelin Judith Hartmann | Nurse Practitioner | Iowa Dermatology Clinic Plc | 2913 5th Ave S, Fort Dodge, IA 50501-2923 |
| Bethany A Heath | Optometry | Heath Family Eyecare, Inc | 3036 1st Ave S, Fort Dodge, IA 50501-2988 |
| Brent A Heath | Optometry | Heath Family Eyecare, Inc | 3036 1st Ave S, Fort Dodge, IA 50501-2988 |
| Sarah L Keys | Chiropractic | Joshua J. Mason Dc PC | 20 N 29th St, Active Health Chiropractic, Fort Dodge, IA 50501-2990 |
| Mitchell A Crema | Chiropractic | Joshua J. Mason Dc PC | 20 N 29th St, Active Health Chiropractic, Fort Dodge, IA 50501-2990 |
| Joshua J Mason | Chiropractic | Joshua J. Mason Dc PC | 20 N 29th St, Active Health Chiropractic, Fort Dodge, IA 50501-2990 |
| Find all physicians in zip 50501 | |||
| City | FORT DODGE |
| Zip Code | 50501 |
| Specialty | DERMATOLOGY |
| City + Specialty | FORT DODGE + DERMATOLOGY |
Please comment or provide details below to improve the information on Scott G Green.
| 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.