Accredited Dermatology Associates, P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

17538 Issued in IA

Legal business name

ACCREDITED DERMATOLOGY ASSOCIATES, P.C.

Practice address

2322 E Kimberly Rd
Suite N100
Davenport, IA 52807-7205

Phone

(563) 355-3376

NPI assigned

Mar 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert F. Godwin, M.D.NPI 1790813368

Title

President

Phone

(563) 355-3376

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jill L. Lightfoot, M.D.

  • Dermatology Physician
  • Davenport, IA
  • NPI 1609071364
  Medicare reassignment NPD
• Michael J Messingham, MD

  • Procedural Dermatology Physician
  • Iowa City, IA
  • NPI 1558355859
  Medicare reassignment NPD
• Barbara Ann Lindman, M.D.

  • Dermatology Physician
  • Moline, IL
  • NPI 1124162292

  IA

  Medicare reassignment NPD
• Robert F. Godwin, M.D.

  • Dermatology Physician
  • Davenport, IA
  • NPI 1790813368
  Authorized official Same address or phone
• Nicole Marie Luszczyk, PA-C

  • Medical Physician Assistant
  • Davenport, IA
  • NPI 1699913061
  NPD (past)
• Thorsteinn Skulason, M.D.

  • Dermatology Physician
  • Milwaukee, WI
  • NPI 1275506081
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326176983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 E KIMBERLY RD",
            "address_2": "SUITE N100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528077205",
            "telephone_number": "563-355-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 E KIMBERLY RD",
            "address_2": "SUITE N100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528077205",
            "telephone_number": "563-355-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCREDITED DERMATOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-355-3376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "17538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0090084",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Absolute Balance Chiropractic P.C.
• Samer Abu Alula, M.D.
• Abundant Health Physical Medicine PC
• Accordius Health at St Mary, LLC (Accordius Health at St Mary)
• Accordius Health at St Mary, LLC (Accordius Health at St Mary)
• Accrete Care LLC (Comfort Keepers)
• Omar Aceviz
• Ifeoma Nancy Achebe, MD
• Adam Acheson
• Achieving Better Communication LLC

• Dermatology Physician in Davenport, IA
• Providers in Davenport, IA by specialty
• Dermatology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.