Active NPI
Eric M Dolash, PA-C
- Physician Assistant
- Waterloo, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 073312
- Practice address
- 3741 Pheasant LN
Waterloo, IA 50701-5215 - Phone
- (319) 234-6000
- Fax
- (319) 234-6001
- NPI assigned
- Jul 15, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 073312 | IA | Primary |
Addresses
Primary practice location
3741 Pheasant LN
Waterloo, IA 50701-5215
Mailing address
PO Box 2400
Waterloo, IA 50704-2400
Phone (319) 234-6000
Other practice location 1
312 9th St SW Ste 2000
Waverly, IA 50677-2909
Phone (319) 234-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
312 9TH St SW
2000 Dermatology Clinic
Waverly, IA 50677-2909
Phone (319) 234-6000
3741 Pheasant LN
Waterloo, IA 50701-5215
Phone (319) 234-6000
441 E San Marnan Dr
Suite 110
Waterloo, IA 50702-5900
Phone (319) 234-6000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.87 of 100
- Quality
- 93.47
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.77
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 073312 | IA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Orthopaedic Center, P.C. | Physician Assistant | Current | Accepting new patients |
| Iowa Orthopaedic Center, P.C. | Current | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Locations
450 Laurel St
Ste C
Des Moines, IA 50314
Phone (515) 247-9590
450 Laurel St
Ste A
Des Moines, IA 50314
Phone 5152478400321
Interoperability endpoints
- edolash@premierderm.emadirect.md
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Waterloo, IA
- NPI 1467898007
-
- Orthopaedic Surgery Physician
- Des Moines, IA
- NPI 1669579785
-
- Orthopaedic Surgery Physician
- Johnston, IA
- NPI 1326637521
Physician Assistant
-
- Orthopaedic Surgery Physician
- West Des Moines, IA
- NPI 1639655087
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waterloo, IA
- NPI 1336231091
-
- General Acute Care Hospital
- Waterloo, IA
- NPI 1700827896
-
- Critical Access Hospital
- Waverly, IA
- NPI 1447299953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1497162143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2400",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507042400",
"telephone_number": "319-234-6000",
"fax_number": "319-234-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3741 PHEASANT LN",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507015215",
"telephone_number": "319-234-6000",
"fax_number": "319-234-6001"
}
],
"practiceLocations": [
{
"address_1": "312 9th St SW Ste 2000",
"address_purpose": "LOCATION",
"city": "Waverly",
"state": "IA",
"postal_code": "506772909",
"country_code": "US",
"telephone_number": "319-234-6000",
"fax_number": "319-234-6001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOLASH",
"first_name": "ERIC",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-15",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "073312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.