Iowa Skin Clinic

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

IOWA SKIN CLINIC

Practice address

212 N Market St
Oskaloosa, IA 52577-2829

Phone

(515) 314-8661

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Mirza M Baig, M.D.NPI 1750332284

Title

President

Phone

(641) 672-0123

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mirza Baig, M.D.

  • Dermatology Physician
  • Des Moines, IA
  • NPI 1750332284
  Medicare reassignment NPD Authorized official
• Karen Anne Spahr, DO

  • Internal Medicine Physician
  • Oskaloosa, IA
  • NPI 1194891374
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1720170566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22112",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503259402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N MARKET ST",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525772829",
            "telephone_number": "515-314-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA SKIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "BAIG",
        "authorized_official_first_name": "MIRZA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-672-0123",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0418400",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Imagine the Possibilities, Inc.
• Imagine the Possibilities, Inc.
• Jacob Inghram
• Inner Peace Counseling
• Iowa Rural Surgical Associates, P.C.
• Samantha Rose Jacobs, MS, LAT, ATC
• Courtney Jacobsen, PT
• Sarah Jansen
• Tonya Johannes, ARNP
• Gayle Johnson, ARNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.

Verify at the official NPI Registry.