Iowa Dermatology Consultants, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

IOWA DERMATOLOGY CONSULTANTS, PLLC

Practice address

2675 N Ankeny Blvd Ste 101
Ankeny, IA 50023-4719

Phone

(515) 217-4807

Fax

(515) 257-6977

NPI assigned

Jun 19, 2020

Organization subpart

No

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

• Katrina A. Smith, MD

  • Dermatology Physician
  • Ankeny, IA
  • NPI 1104859040

  Dermatology, IA

  Medicare reassignment Care Compare group NPD Authorized official
• Laura Marie Myers, M.D.

  • Dermatology Physician
  • Ankeny, IA
  • NPI 1336130392

  Dermatology, IA

  Medicare reassignment Care Compare group NPD
• Anne Al Snider, M.D.

  • Dermatology Physician
  • Ames, IA
  • NPI 1902887318

  Dermatology, IA

  Medicare reassignment Care Compare group NPD

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00169

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

Authorized official

Name

Dr. Katrina Ann Smith, MDNPI 1104859040

Title

Dermatologist/Owner

Phone

(715) 581-5713

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621728000000",
    "number": "1730705385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 N ANKENY BLVD STE 101",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234719",
            "telephone_number": "515-217-4807",
            "fax_number": "515-257-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 N ANKENY BLVD STE 101",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234719",
            "telephone_number": "515-217-4807",
            "fax_number": "515-257-6977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1429 Boston Ave",
            "address_purpose": "LOCATION",
            "city": "Ames",
            "state": "IA",
            "postal_code": "500108777",
            "country_code": "US",
            "telephone_number": "515-217-4807",
            "fax_number": "515-630-0278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IOWA DERMATOLOGY CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2021-05-23",
        "certification_date": "2021-05-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DERMATOLOGIST/OWNER",
        "authorized_official_telephone_number": "715-581-5713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Iowa Physicians Clinic Medical Foundation

• All providers in Ankeny, IA
• Dermatology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.