MUSCATINE DERMATOLOGY, PLC (NPI# 1255538591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255538591 |
| Entity Type | Organization |
| Organization Name | MUSCATINE DERMATOLOGY, PLC |
| Practice Address |
2300a Park Ave Muscatine IA 52761-5444 |
| Practice Telephone | 5632632113 |
| Practice Fax Number | 5632632619 |
| Mailing Telephone | 5632632113 |
| Mailing Fax Number | 5632632619 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2015-09-25 |
| Authorized Official Name | DR. MERINER MARTIN PEREIRA (PHYSICIAN) |
| Authorized Official Telephone | 5632632113 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
Allopathic & Osteopathic Physicians | ||
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | MUSCATINE DERMATOLOGY, PLC | 6800 Jersey Ridge Rd, Davenport, IA 52807 |
| Street Address |
2300A PARK AVE |
| City | MUSCATINE |
| State | IA |
| Zip Code | 52761-5444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780282327 | Jaime S Jose Jr. | Physical Therapist | Lutheran Living Senior Campus, 2421 Lutheran Drive, Muscatine, IA 52761 | 2020-10-15 |
| 1871063446 | Stephanie Marie Fiser | Counselor | 503 Iowa Ave, Muscatine, IA 52761 | 2018-11-27 |
| 1194215269 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 3426 N Port Dr Ste 200, Muscatine, IA 52761 | 2018-05-15 |
| 1538614086 | Sejal Savani | Dentist | 3020 N Highway 61, Muscatine, IA 52761 | 2016-08-24 |
| 1932468006 | Jason R Carstens | Chiropractor | 3800 Grandview Avenue, Muscatine, IA 52761 | 2012-05-10 |
| 1699062166 | Joyce Esther Hart-leon | Marriage & Family Therapist | 2821 Hwy 22 East., Muscatine, IA 52761 | 2011-07-06 |
| 1750533667 | Sunnybrook of Muscatine | Assisted Living Facility | 3515 Dianna Queen Drive, Muscatine, IA 52761 | 2008-10-22 |
| 1346415403 | Marcie L. Nithang | Counselor | 315 Iowa Ave., Ste. C, Muscatine, IA 52761 | 2008-04-29 |
| 1023238474 | Barbara Joan Gipple | Dentist | 2195 North Hill Road, Muscatine, IA 52761 | 2007-04-26 |
| 1154484954 | Holly Ann Krystek | Dentist | 2920 Cedar St, Muscatine, IA 52761 | 2006-12-19 |
| Find all providers in zip 52761 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538699806 | Jennifer S Hutchinson | Dermatology | 112 Jefferson St, West Union, IA 52175-1022 | 2017-06-19 |
| 1083155501 | Forefront Dermatology, S.c. | Dermatology | 1005 Pennsylvania Ave, Suite 210, Ottumwa, IA 52501 | 2017-03-16 |
| 1710427216 | Forefront Dermatology, S.c. | Dermatology | 500 Main St, Suite 113, Ames, IA 50010 | 2017-03-02 |
| 1346780848 | Forefront Dermatology, S.c. | Dermatology | 2785 N Ankeny Blvd, Suite 24, Ankeny, IA 50023 | 2017-03-02 |
| 1477806354 | Ic Dermatology, PC | Dermatology | 269 N 1st Ave, Ste 100, Iowa City, IA 52245-3616 | 2012-10-17 |
| 1952549792 | Ic Dermatology PC | Dermatology | 269 N 1st Ave, Suite 100, Iowa City, IA 52245-3616 | 2009-02-02 |
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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.