John Hugh Wollner, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD-25852 Issued in IA

Practice address

5264 Council St NE Ste 700
Cedar Rapids, IA 52402-2477

Phone

(319) 363-9936

Fax

(319) 363-0520

NPI assigned

Mar 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Iowa, RJ & L Carver College of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epiphany Dermatology of Iowa PLCGroup PAC ID 7618307034, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.79 of 100Reported as group

Quality

82.98

Improvement activities

40

Cost

85.34

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.wollner@epiphanyderm.emadirect.md

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.

• Epiphany Dermatology of Iowa, PLC

  • Dermatology Physician
  • Cedar Rapids, IA
  • NPI 1104451749
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1568423192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 5TH AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524011916",
            "telephone_number": "319-363-9936",
            "fax_number": "319-363-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5264 COUNCIL ST NE STE 700",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022477",
            "telephone_number": "319-363-9936",
            "fax_number": "319-363-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLNER",
        "first_name": "JOHN",
        "middle_name": "HUGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IA",
            "license": "25852",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "MD-25852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "24580",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0245803",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel R Wolfe, O.D.
• Jessica Leeanne Wolfe, ARNP
• Michelle Nicole Wolfe
• Rebecca J Wolfe, M.D.
• Diane Marie Wolfgram
• Michael L Woltman, M.D.
• Eric Wolvers, HIS
• Women'S Healthcare,P.C.
• Ashley Lynn Wood, LMSW
• Autumn Wood, OTR/L

• Dermatology Physician in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Dermatology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.

Verify at the official NPI Registry.