IOWA DERMATOLOGY CLINIC PLC (NPI# 1558909572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558909572 |
| Entity Type | Organization |
| Organization Name | IOWA DERMATOLOGY CLINIC PLC |
| Practice Address |
1895 Se Grimes Blvd. Ste. 103 Grimes IA 50111-1277 |
| Mailing Address |
6800 Lake Dr Ste 285 West Des Moines IA 50266-2544 |
| Practice Telephone | 5159817040 |
| Practice Fax Number | 5152591962 |
| Mailing Telephone | 5152263116 |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |
| Authorized Official Name | CHARLES W LOVE (CEO) |
| Authorized Official Telephone | 5152268484 |
| Authorized Official Credential | MD |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1255679163 | Iowa Dermatology Clinic Plc | Clinical Medical Laboratory | 6000 University Ave, Suite 350, West Des Moines, IA 50266-8203 | 2013-01-28 |
| 1871607531 | Iowa Dermatology Clinic Plc | Dermatology | 5921 Se 14th St, Suite 2500, Des Moines, IA 50320-1746 | 2006-08-19 |
| Street Address |
1895 SE GRIMES BLVD. STE. 103 |
| City | GRIMES |
| State | IA |
| Zip Code | 50111-1277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013200914 | Ccrc of Grimes, LLC | Skilled Nursing Facility | 200 Sw Brookside Drive, Grimes, IA 50111 | 2011-05-25 |
| 1891000147 | Wal-mart Stores Inc | Technician/Technologist | 2150 East 1st St., Grimes, IA 50111 | 2010-08-11 |
| 1134364573 | Tram Quach | Pharmacist | 608 South 18th Street, Grimes, IA 50111 | 2008-12-15 |
| 1730338625 | Ann Marie Miller | Pharmacist | 5700 Glenstone Dr, Unit 701, Grimes, IA 50111 | 2008-09-16 |
| 1548481591 | Siebert Mobility, Inc. | Contractor | 3450 Se Miehe Drive, Suite 1, Grimes, IA 50111 | 2007-05-01 |
| 1275691867 | Nicholas John Nerem | Chiropractor | 925 Gateway Dr., Suite 200, Grimes, IA 50111 | 2006-12-05 |
| 1932275252 | Holly Marie Crowson | Chiropractor | 3000 Se Grimes Blvd, Suite 500, Grimes, IA 50111 | 2006-11-28 |
| 1235158452 | Amanda Jorgensen | Dentist | 100 Sw Brookside Dr, Grimes, IA 50111 | 2006-07-19 |
| 1922065903 | Curtis R Waddingham | Specialist/Technologist | 270 Sw 1st St, Ste H, Grimes, IA 50111 | 2006-04-26 |
| 1326011578 | Grove and Platt Dental Associates Plc | Dentist | 1541 S Third Street, Suite 300, Grimes, IA 50111 | 2006-02-08 |
| Find all providers in zip 50111 | ||||
| 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 |
|---|---|---|---|---|
| 1730705385 | Iowa Dermatology Consultants, Pllc | Dermatology | 974 73rd St Unit 39&40, West Des Moines, IA 50265-1024 | 2020-06-19 |
| 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 |
| 1548532864 | Mid-iowa Dermatology, P. L. L. C. | Dermatology | 11 N 14th St, Fort Dodge, IA 50501-4241 | 2012-02-01 |
| 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.