IOWA DERMATOLOGY CLINIC PLC (NPI# 1255679163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255679163 |
| Entity Type | Organization |
| Organization Name | IOWA DERMATOLOGY CLINIC PLC |
| Other Organization Name | RADIANT COMPLEXIONS DERMATOLOGY CLINICS OR RADIANT PATHOLOGY |
| Practice Address |
6000 University Ave Suite 350 West Des Moines IA 50266-8203 |
| Practice Telephone | 5152268484 |
| Practice Fax Number | 5152268487 |
| Mailing Telephone | 5152268484 |
| Mailing Fax Number | 5152268487 |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2016-04-22 |
| Authorized Official Name | ANDREW B KARAS (CFO) |
| Authorized Official Telephone | 5152263116 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Radiant Complexions Dermatology Clinics or Radiant Pathology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1356846414 | Iowa Dermatology Clinic Plc | Clinic/Center | 3053 8th Street, Suite 200, Altoona, IA 50009 | 2018-03-29 |
| 1972023414 | Iowa Dermatology Clinic Plc | Dermatology | 9500 University Ave Ste 1114, West Des Moines, IA 50266-1745 | 2017-06-26 |
| 1982942702 | Iowa Dermatology Clinic Plc | Dermatology | 26 S 1st Ave, Suite 100, Marshalltown, IA 50158-5032 | 2013-01-29 |
| 1427067214 | Iowa Dermatology Clinic Plc | Dermatology | 3613 Beaver Ave, Des Moines, IA 50310-3273 | 2006-08-08 |
| 1316581622 | Iowa Dermatology Clinic Plc | Dermatology | 1327 Sunset Drive, Suite 200, Norwalk, IA 50211-1343 | 2019-10-30 |
| 1679062848 | Iowa Dermatology Clinic Plc | Dermatology | 22 N 27th St, Fort Dodge, IA 50501-4331 | 2018-05-03 |
| 1932604113 | Iowa Dermatology Clinic Plc | Dermatology | 2105 Ingersoll Ave Ste 101, Des Moines, IA 50312-5201 | 2018-03-28 |
| 1871607531 | Iowa Dermatology Clinic Plc | Dermatology | 5921 Se 14th St, Suite 2500, Des Moines, IA 50320-1746 | 2006-08-19 |
| Street Address |
6000 UNIVERSITY AVE SUITE 350 |
| City | WEST DES MOINES |
| State | IA |
| Zip Code | 50266-8203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376548784 | Daniel P. Allen | Internal Medicine | 6000 University Ave, Suite 300, West Des Moines, IA 50266-8203 | 2005-06-14 |
| 1770093106 | Elizabeth Jordan Hamer | Physician Assistant | 6000 University Ave, Suite 450, West Des Moines, IA 50266 | 2017-10-12 |
| 1467907394 | Cynthia Ann Coenen | Nurse Practitioner | 6000 University Ave, Suite 200, West Des Moines, IA 50266 | 2016-08-21 |
| 1568916237 | Unitypoint Health-dm | General Acute Care Hospital | 6000 University Ave, Suite 124, West Des Moines, IA 50266-8203 | 2016-08-10 |
| 1891185013 | Amanda Sue Gerst | Audiologist | 6000 University Ave, Suite 230, West Des Moines, IA 50266-8203 | 2015-01-26 |
| 1952719171 | Jordan Dielmann | Specialist/Technologist | 6000 University Ave, Suite 250, West Des Moines, IA 50266-8203 | 2014-07-31 |
| 1821406356 | Ana Valencia | Nurse Practitioner | 6000 University Ave, Suite 200, West Des Moines, IA 50266-8203 | 2014-07-29 |
| 1700201407 | Dennis P Porto Md PC | Otolaryngology | 6000 University Ave, Suite 230, West Des Moines, IA 50266-8203 | 2014-03-04 |
| 1770925935 | Cindy S Pontious | Nurse Practitioner | 6000 University Ave, Suite 200, West Des Moines, IA 50266 | 2013-07-29 |
| 1053755835 | Peggy Jo Wasser Scott | Physical Therapist | 6000 University Ave, Suite 203, West Des Moines, IA 50266-8203 | 2013-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1730733205 | Erin Allyn Fiala | Counselor | 1200 Valley West Dr Suite 508, West Des Moines, IA 50266 | 2019-08-01 |
| 1598325151 | Cornerstone Pediatrics and Family Allergy, Plc | Pediatrics | 6800 Lake Drive, #260, West Des Monies, IA 50266 | 2019-06-17 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1326517400 | Merit Hearing LLC | Audiologist-Hearing Aid Fitter | 2910 Westown Pkwy Ste 110, West Des Moines, IA 50266 | 2018-11-18 |
| 1699253807 | Diamond Home Health Care Services | Home Health | 4949 Weston Pkwy Ste 165 #836, West Des Moines, IA 50266 | 2018-07-31 |
| 1285129932 | Hy Vee Inc | Pharmacy | 375 South Jordan Creek Parkway, West Des Moines, IA 50266 | 2018-06-26 |
| 1669965208 | Rx Precision, Inc. | Case Management | 6205 Mills Civic Pkwy Ste 201, West Des Moines, IA 50266 | 2018-06-08 |
| 1912406588 | Cora Schuhmacher, Psy.d., Pllc | Psychologist | 1045 76th St Unit 3030, West Des Moines, IA 50266 | 2018-02-08 |
| 1508374778 | Brian L Bentley | Counselor | 5500 Wild Rose Lane, Suite 400, West Des Moines, IA 50266 | 2018-01-22 |
| Find all providers in zip 50266 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114474590 | Bridges To Betterment | Clinical Medical Laboratory | 1211 Vine St, West Des Moines, IA 50265-4472 | 2016-09-02 |
| 1326223090 | Hy Vee Inc | Clinical Medical Laboratory | 1725 Jordan Creek Pkwy, West Des Moines, IA 50266-5876 | 2007-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651183 | Pioneer Hi-bred International, Inc. | Clinical Medical Laboratory | 8325 Nw 62nd Ave, Johnston, IA 50131-8820 | 2020-08-31 |
| 1366977613 | Bds Healthcare LLC | Clinical Medical Laboratory | 11308 Aurora Ave, Urbandale, IA 50322-7907 | 2017-04-25 |
| 1982094348 | Regional West Medical Center | Clinical Medical Laboratory | 3502 Metro Dr Ste 200, Council Bluffs, IA 51501-7724 | 2015-01-23 |
| 1124435045 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 315 W 3rd Street, Newton, IA 50208-2015 | 2014-07-14 |
| 1821399643 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3400 Dexter Ct Ste 205, Davenport, IA 52807-3463 | 2010-11-10 |
| 1528378783 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 5041 Utica Ridge Rd Ste 100, Davenport, IA 52807-3480 | 2010-10-20 |
| 1952581134 | Cornerstone Counseling Center | Clinical Medical Laboratory | 717 N 18th St, Suite 1, Centerville, IA 52544-1164 | 2007-11-06 |
| 1164598041 | Cross Medical Laboratories LLP | Clinical Medical Laboratory | 321 E Market St Ste 102, Iowa City, IA 52245-2176 | 2006-11-24 |
| 1891805958 | Regional Laboratory Consultants PC | Clinical Medical Laboratory | 1200 Pleasant, Des Moines, IA 50309-1414 | 2006-08-30 |
| 1821069493 | Mississippi Valley Regional Blood Center | Clinical Medical Laboratory | 1007 Pennsylvania, Ottumwa, IA 52501 | 2006-01-31 |
| Find all providers with the same taxonomy | ||||
| City | WEST DES MOINES |
| Zip Code | 50266 |
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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.