Rodney J Clark (NPI# 1417443953, PAC ID# 9436402062) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1417443953 |
| PAC ID by PECOS | 9436402062 |
| Professional Enrollment ID | I20181030000590 |
| Full Name | Rodney J Clark |
| Organization Legal Name | IOWA DERMATOLOGY CLINIC PLC |
| Address |
5921 Se 14th St 2500 Radiant Complexions Dermatology Clinic Des Moines IA 50320-1747 |
| Phone Number | 5152875757 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2961394713 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5921 Se 14th St, 2500 Radiant Complexions Dermatology Clinic, Des Moines, IA 50320-1747 | 5152875757 | IOWA DERMATOLOGY CLINIC PLC |
| 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 |
| 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 |
| Katie L Broshuis | Nurse Practitioner | Iowa Dermatology Clinic Plc | 2010 Philadelphia St, Suite 1, Ames, IA 50010-8784 |
| Street Address |
5921 SE 14TH ST 2500 RADIANT COMPLEXIONS DERMATOLOGY CLINIC |
| City | DES MOINES |
| State | IA |
| Zip | 50320-1747 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy R Sexton | Chiropractic | 5921 Se 14th St, Suite 200, Des Moines, IA 50320-1746 | |
| Brad E Earp | Physical Therapy | Physiotherapy Associates Inc | 5921 Se 14th St, Suite 2000, Des Moines, IA 50320-1728 |
| Jane A Neff | Nurse Practitioner | Iowa Dermatology Clinic Plc | 5921 Se 14th St, 2500 Radiant Complexions Dermatology Clinic, Des Moines, IA 50320-1747 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| April Winters | Family Medicine | Primary Health Care, Inc. | 2353 Se14th St, Des Moines, IA 50320-1109 |
| Noreen Ellen Oshea | Family Medicine | Primary Health Care, Inc. | 2353 Se14th St, Des Moines, IA 50320-1109 |
| Daniela Frankova | Hospitalist | Primary Health Care, Inc. | 2353 Se14th St, Des Moines, IA 50320-1109 |
| Timothy W Swinton | Family Medicine | Primary Health Care, Inc. | 2353 Se14th St, Des Moines, IA 50320-1109 |
| Chandan Mitra | Internal Medicine | Primary Health Care, Inc. | 2353 Se14th St, Des Moines, IA 50320-1109 |
| Neetha P Molakala | Family Practice | Primary Health Care Inc | 2353 Se14th St, Des Moines, IA 50320-1109 |
| Allen Richard Dale | Physician Assistant | Primary Health Care, Inc. | 2353 Se14th St, Des Moines, IA 50320-1109 |
| Mandy M Newton Rosenow | Physician Assistant | Primary Health Care, Inc. | 2353 Se14th St, Des Moines, IA 50320-1109 |
| Uma R Palakurthy | Internal Medicine | Primary Health Care, Inc. | 2353 Se14th St, Des Moines, IA 50320-1109 |
| Michael S Budahn | Optometry | 5201 Se 14th St, Ultra Eyecare, Des Moines, IA 50320-1615 | |
| Find all physicians in zip 50320 | |||
| City | DES MOINES |
| Zip Code | 50320 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DES MOINES + 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.