DR. ASHLYNNE HARRIS CLARK (NPI# 1932410867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932410867 |
| Entity Type | Individual |
| Full Name | DR. ASHLYNNE HARRIS CLARK |
| Credential | M.D. |
| Practice Address |
202 10th St Se Ste 270 C/o PCi Medical Pavillion Cedar Rapids IA 52403-2414 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 3192944319 |
| Practice Fax Number | 3193944298 |
| Mailing Telephone | 8666309882 |
| Mailing Fax Number | 9206825810 |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2015-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD-42907 | IA | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
MD-42907 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
202 10TH ST SE STE 270 C/O PCI MEDICAL PAVILLION |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52403-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194176586 | Paul Fenton | Dermatology | 202 10th St Se Ste 270, Cedar Rapids, IA 52403-2420 | 2016-06-27 |
| 1316342611 | Forefront Dermatology, S.c. | Dermatology | 202 10th St Se Ste 270, Cedar Rapids, IA 52403 | 2014-10-29 |
| 1851708291 | Kathleen M Duffy | Physician Assistant | 202 10th St Se Ste 270, Cedar Rapids, IA 52403-2420 | 2014-07-17 |
| 1033554498 | Matthew John Landherr | Dermatology | 202 10th St Se Ste 270, Cedar Rapids, IA 52403-2420 | 2013-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093242083 | Eric Burton | Social Worker | 1535 1st Ave Se., Cedar Rapids Va Cboc, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1619404613 | Dylan Roberts Streb | Family Medicine | Eastern Iowa Health Center, 1201 Third Avenue Se, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1760870851 | Forefront Dermatology, S.c. | Dermatology | 202 10th Street, Sw, Suite 290, Cedar Rapids, IA 52403 | 2014-12-26 |
| 1801292883 | Laura Pelechek | Marriage & Family Therapist | 1744 2nd Ave Se, Cedar Rapids, IA 52403 | 2014-11-18 |
| 1306090147 | John Daniel Schuchmann | Anesthesiology | 3629 Random Road Se, Cedar Rapids, IA 52403 | 2008-11-06 |
| 1851564157 | Cedar Rapids Medical Education Foundation | Family Medicine | 1260 Second Avenue S.e., Cedar Rapids, IA 52403 | 2008-04-08 |
| 1093866071 | Mcld Corporation | Durable Medical Equipment & Medical Supplies | 207 2nd Avenue Se Ste A, Cedar Rapids, IA 52403 | 2007-01-16 |
| 1154483980 | James P Schuller | Dentist | 1000 42nd St Se, 1000 Professional Centre Suite B, Cedar Rapids, IA 52403 | 2006-12-15 |
| 1477640183 | C R Iv Service Inc | Home Health | 402 10th St, Ste 700 Carepro Home Health, Cedar Rapids, IA 52403 | 2006-10-06 |
| 1104919638 | C R Iv Service Inc | Durable Medical Equipment & Medical Supplies | 402 10th Street Se, Suite 700, Cedar Rapids, IA 52403 | 2006-10-02 |
| Find all providers in zip 52403 | ||||
| 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 |
|---|---|---|---|---|
| 1760870851 | Forefront Dermatology, S.c. | Dermatology | 202 10th Street, Sw, Suite 290, Cedar Rapids, IA 52403 | 2014-12-26 |
| 1235393851 | Stacy M Kirby | Dermatology | 1815 - 1st Ave Se, Suite 200, Cedar Rapids, IA 52402-5417 | 2008-07-13 |
| 1104451749 | Epiphany Dermatology of Iowa, Plc | Dermatology | 716 5th Ave Se, Cedar Rapids, IA 52401-1916 | 2020-03-04 |
| 1194176586 | Paul Fenton | Dermatology | 202 10th St Se Ste 270, Cedar Rapids, IA 52403-2420 | 2016-06-27 |
| 1033583364 | State University of Iowa | Dermatology | 411 10th St Se, Ste 1200, Cedar Rapids, IA 52403-2442 | 2015-11-24 |
| 1033554498 | Matthew John Landherr | Dermatology | 202 10th St Se Ste 270, Cedar Rapids, IA 52403-2420 | 2013-04-29 |
| 1912240565 | Forefront Dermatology, S.c. | Dermatology | 855 A Ave Ne Ste 120, C/o St. Lukes Medical Plaza, Cedar Rapids, IA 52402-5062 | 2013-04-02 |
| 1306071915 | Thomas Allen Pietras | Dermatology | 855 A Avenue Ne, St. Lukes Medical Plaza, Suite 120, Cedar Rapids, IA 52402-5062 | 2009-05-27 |
| 1720025414 | David Lowell Knutson II | Dermatology | 1815 1st Ave Se, Suite 200, Cedar Rapids, IA 52402-5417 | 2006-06-01 |
| 1629051297 | Robert John Barry | Dermatology | 1030 5th Ave Se, Cedar Rapids, IA 52403-2464 | 2005-11-28 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52403 |
Please comment or provide details below to improve the information on DR. ASHLYNNE HARRIS CLARK.
| 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.