DERMATOLOGY, PC (NPI# 1790736353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790736353 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY, PC |
| Practice Address |
6000 University Ave Suite 450 West Des Moines IA 50266-8203 |
| Practice Telephone | 5152412000 |
| Practice Fax Number | 5152412000 |
| Mailing Telephone | 5152412000 |
| Mailing Fax Number | 5152412000 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROGER I CEILLEY (PRESIDENT) |
| Authorized Official Telephone | 5152412000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538204870 | Dermatology, PC | Dermatology | 330 N Wabash Ave, #360, Marion, IN 47342-9999 | 2007-02-21 |
| Street Address |
6000 UNIVERSITY AVE SUITE 450 |
| 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 | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922245638 | John Perrotto, D.o., P.a. | Dermatology | 5910 Ashworth Rd # 134, West Des Moines, IA 50266-7108 | 2009-01-16 |
| 1992758122 | Roger I Ceilley | Dermatology | 6000 University Ave, Suite 450, West Des Moines, IA 50266-8203 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477076628 | Forefront Dermatology, S.c. | Dermatology | 12327 Stratford Dr, Clive, IA 50325 | 2017-07-19 |
| 1316342611 | Forefront Dermatology, S.c. | Dermatology | 202 10th St Se Ste 270, Cedar Rapids, IA 52403 | 2014-10-29 |
| 1346403755 | Kent P Ellerbroek Md PC | Dermatology | 541 King Dr, Waterloo, IA 50702-5959 | 2008-07-07 |
| 1912103979 | Dermatology Associates LLP | Dermatology | 501 12th Ave, Suite 101, Coralville, IA 52241-1774 | 2007-06-26 |
| 1477506814 | Hobart W Walling | Dermatology | 1100 6th St, Suite 202, Coralville, IA 52241-1755 | 2006-05-18 |
| 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.