Ic Dermatology, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

37357 Issued in IA

Legal business name

IC DERMATOLOGY, PC

Practice address

269 N 1St Ave
Ste 100
Iowa City, IA 52245-3616

Phone

(319) 339-3872

Fax

(319) 339-3874

NPI assigned

Oct 17, 2012

Organization subpart

No

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

Authorized official

Name

Erica S Colleran, MD

Title

Owner

Phone

(319) 339-3872

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1477806354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 N 1ST AVE",
            "address_2": "STE 100",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522453616",
            "telephone_number": "319-339-3872",
            "fax_number": "319-339-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 N 1ST AVE",
            "address_2": "STE 100",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522453616",
            "telephone_number": "319-339-3872",
            "fax_number": "319-339-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IC DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "COLLERAN",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-339-3872",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "IA",
            "license": "37357",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IA",
            "license": "37357",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225152374",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hisham Abdellah Osman Ibrahim, MD
• Khansaa Ibrahim, RBT
• Steven Ibrahim
• Merete Ibsen, MD
• Ic Dermatology PC
• Ic Strength Physical Therapy PLLC
• Michael S Icardi, MD
• Olusola A Idowu, MBBS
• Amar Musa Idris, HOMECARE AGENCY
• Ayesha Iftekhar, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.