Active NPI
My Skin Clinics PLC
- Surgery Physician
- Spirit Lake, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 24582
- Legal business name
- MY SKIN CLINICS PLC
- Practice address
- 3301 Highway 71 Ste 1
Spirit Lake, IA 51360-7634 - Phone
- (712) 332-6001
- Fax
- (712) 332-6010
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald J Kolegraff, MD
- Title
- Owner and Provider
- Phone
- (712) 332-6001
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | 24582 | IA | |
| Surgery Physician | 208600000X | 24582 | IA | Primary |
Addresses
Primary practice location
3301 Highway 71 Ste 1
Spirit Lake, IA 51360-7634
Mailing address
3301 Highway 71 Ste 1
Spirit Lake, IA 51360-7634
Phone (712) 332-6001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DO5034 | Other | IA | RAILROAD MEDICARE |
| 0746875 | Medicaid | IA |
Other names 1
- Rebe Skin and Vein Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1008 Eastview Ave
Unit 68
Okoboji, IA 51355
Phone (712) 332-6001
1008 Eastview Ave
Okoboji, IA 51355
Phone (605) 332-6001
1008 Eastview Ave
Ste 8
Okoboji, IA 51355
Phone (712) 332-6001
3301 Highway 71
Unit 14
Spirit Lake, IA 51360
Phone (712) 332-6001
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Okoboji, IA
- NPI 1891757878
-
- Pain Medicine Physician
- Norfolk, NE
- NPI 1447357462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768953600000",
"number": "1407992373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 HIGHWAY 71 STE 1",
"city": "SPIRIT LAKE",
"state": "IA",
"postal_code": "513607634",
"telephone_number": "712-332-6001",
"fax_number": "712-332-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 HIGHWAY 71 STE 1",
"city": "SPIRIT LAKE",
"state": "IA",
"postal_code": "513607634",
"telephone_number": "712-332-6001",
"fax_number": "712-332-6010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY SKIN CLINICS PLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A",
"authorized_official_last_name": "KOLEGRAFF",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER AND PROVIDER",
"authorized_official_telephone_number": "712-332-6001",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Phlebology",
"state": "IA",
"license": "24582",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "IA",
"license": "24582",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DO5034",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0746875",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rebe Skin and Vein Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Rebe Skin and Vein Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spirit Lake, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.