IOWA DERMATOLOGY CLINIC, PLC (NPI# 1487026266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487026266 |
| Entity Type | Organization |
| Organization Name | IOWA DERMATOLOGY CLINIC, PLC |
| Other Organization Name | RADIANT COMPLEXIONS DERMATOLOGY CLINIC |
| Practice Address |
2010 Philadelphia St Suite 1 Ames IA 50010-8784 |
| Practice Telephone | 5152328844 |
| Practice Fax Number | 5152328855 |
| Mailing Telephone | 5152328844 |
| Mailing Fax Number | 5152328855 |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-21 |
| Authorized Official Name | DR. CHARLES LOVE (OWNER) |
| Authorized Official Telephone | 5152268484 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | IOWA DERMATOLOGY CLINIC, PLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Radiant Complexions Dermatology Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366916371 | Iowa Dermatology Clinic, Plc | Dermatology | 3720 N Ankeny Blvd Ste 101, Ankeny, IA 50023-4605 | 2019-01-14 |
| 1083086862 | Iowa Dermatology Clinic, Plc | Dermatology | 3729 86th St, Urbandale, IA 50322 | 2015-10-20 |
| 1639541410 | Iowa Dermatology Clinic, Plc | Dermatology | 1510 Sw Oralabor Rd Ste C, Ankeny, IA 50023-7147 | 2015-10-20 |
| 1932571965 | Iowa Dermatology Clinic, Plc | Dermatology | 26 S 1st Ave, Suite 100, Marshalltown, IA 50158-5034 | 2015-10-29 |
| 1669844692 | Iowa Dermatology Clinic, Plc | Pathology | 6000 University Ave Ste 350, West Des Moines, IA 50266-8219 | 2015-10-29 |
| 1508238395 | Iowa Dermatology Clinic, Plc | Dermatology | 5921 Se 14th St, Suite 2500, Des Moines, IA 50320-1746 | 2015-10-20 |
| Street Address |
2010 PHILADELPHIA ST SUITE 1 |
| City | AMES |
| State | IA |
| Zip Code | 50010-8784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487648705 | Karen Lynn Hunke | Nurse Practitioner | 2010 Philadelphia St, Suite #1, Ames, IA 50010-8784 | 2005-08-31 |
| 1730608696 | Janeen Busch | Nurse Practitioner | 2010 Philadelphia St, Ames, IA 50010-8784 | 2017-09-12 |
| 1437533130 | Katie Broshuis | Nurse Practitioner | 2010 Philadelphia St, Suite 1, Ames, IA 50010-8784 | 2015-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851853063 | Eric Martin Mills | Social Worker | 320 South 17th Street, Ames, IA 50010 | 2019-04-05 |
| 1487147963 | Mcfarland Clinic, PC | Eyewear Supplier (Equipment, not the service) | 3500 University Blvd., Suite 1001, Ames, IA 50010 | 2018-06-11 |
| 1346733763 | Katelyn Elaine Holbrook | Occupational Therapist | 1915 Philadelphia Street, Ames, IA 50010 | 2018-06-11 |
| 1174030571 | Joshua B Hubbell | Peer Specialist | 527 E Lincoln Way #216, Ames, IA 50010 | 2018-01-08 |
| 1528426996 | Brandy Suzanne Walker | Occupational Therapist | 28201 550th Ave, Ames, IA 50010 | 2016-02-01 |
| 1386086338 | Adrienne Rae Shrader | Counselor | 600 5th Street, Suite 200, Ames, IA 50010 | 2013-07-18 |
| 1164708509 | North Central Iowa Mental Health Center Inc | Clinic/Center | 1801 20th St, Ames, IA 50010 | 2011-10-31 |
| 1669752226 | Ashley Rae Loeffelholz | Pharmacist | Nucara Pharmacy #28, 3600 University Blvd Suite 103, Ames, IA 50010 | 2011-08-26 |
| 1245544436 | Crawford Endodontics, Pllc | Dentist | 515 Grand Ave., Suite 102, Ames, IA 50010 | 2010-07-30 |
| 1023256708 | Donald Warren Powers | Family Medicine | 2538 Eisenhower, Ames, IA 50010 | 2009-02-03 |
| Find all providers in zip 50010 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871571794 | Leslie J Christenson | Dermatology | 3600 W Lincoln Way, Mcfarland Clinic PC, Ames, IA 50010 | 2006-01-03 |
| 1841280336 | Daniel M Macalpine | Dermatology | 3500 S University Blvd., Ames, IA 50010 | 2005-10-25 |
| 1023008810 | Stuart James Kolner | Dermatology | 3600 W. Lincoln Way, Ames, IA 50010-3014 | 2005-10-24 |
| 1518109123 | Timothy James Hansen | Dermatology | 3600 W Lincoln Way, Mcfarland Clinic, PC, Ames, IA 50014 | 2009-03-27 |
| 1033378393 | Skin Solutions Dermatology Plc | Dermatology | 500 Main St, Suite 113, Ames, IA 50010-6083 | 2008-06-03 |
| 1316034093 | Kathy P Cook | Dermatology | 500 Main St, Suite 113, Ames, IA 50010-6083 | 2006-10-06 |
| 1104859040 | Katrina A. Smith | Dermatology | 3600 W Lincoln Way, Ames, IA 50010-3014 | 2006-07-07 |
| 1902887318 | Anne Al Snider | Dermatology | 3600 Lincoln Way, Ames, IA 50014-7595 | 2005-11-11 |
| 1336130392 | Laura Marie Myers | Dermatology | 3600 W. Lincoln Way, Ames, IA 50010-3014 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730705385 | Iowa Dermatology Consultants, Pllc | Dermatology | 974 73rd St Unit 39&40, West Des Moines, IA 50265-1024 | 2020-06-19 |
| 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 |
| 1366916371 | Iowa Dermatology Clinic, Plc | Dermatology | 3720 N Ankeny Blvd Ste 101, Ankeny, IA 50023-4605 | 2019-01-14 |
| 1972023414 | Iowa Dermatology Clinic Plc | Dermatology | 9500 University Ave Ste 1114, West Des Moines, IA 50266-1745 | 2017-06-26 |
| 1275998692 | Skinspa LLC | Dermatology | 9350 University Ave Ste 132, West Des Moines, IA 50266-1648 | 2015-12-30 |
| 1083086862 | Iowa Dermatology Clinic, Plc | Dermatology | 3729 86th St, Urbandale, IA 50322 | 2015-10-20 |
| 1639541410 | Iowa Dermatology Clinic, Plc | Dermatology | 1510 Sw Oralabor Rd Ste C, Ankeny, IA 50023-7147 | 2015-10-20 |
| 1760870851 | Forefront Dermatology, S.c. | Dermatology | 202 10th Street, Sw, Suite 290, Cedar Rapids, IA 52403 | 2014-12-26 |
| 1982942702 | Iowa Dermatology Clinic Plc | Dermatology | 26 S 1st Ave, Suite 100, Marshalltown, IA 50158-5032 | 2013-01-29 |
| Find all providers with the same taxonomy | ||||
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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.