Muscatine Dermatology, PLC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

MUSCATINE DERMATOLOGY, PLC

Practice address

2300A Park Ave
Muscatine, IA 52761-5444

Phone

(563) 263-2113

Fax

(563) 263-2619

NPI assigned

Jun 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Meriner Martin Pereira, M.D.

Title

Physician

Phone

(563) 263-2113

Specialties & licenses 4

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1255538591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300A PARK AVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527615444",
            "telephone_number": "563-263-2113",
            "fax_number": "563-263-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300A PARK AVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527615444",
            "telephone_number": "563-263-2113",
            "fax_number": "563-263-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSCATINE DERMATOLOGY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "PEREIRA",
        "authorized_official_first_name": "MERINER",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "563-263-2113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie N Munier, AGPCNP-BC
• Lisa Murphy
• Muscatine Chiropractic Center PC
• Muscatine Community School District
• Muscatine County Community Services
• Muscatine Kidney Center, LLC
• Muscatine Nursing and Rehabilitation Center LLC
• Muscatine Physical Therapy Services, P.C.
• Muscatine SNF Operator LLC
• Muscatine Urgent Care, PLC

• All providers in Muscatine, IA
• Procedural Dermatology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.