Individual provider Active NPI

Steven Lee Harlan, M.D.

  • Dermatology Physician
  • Clive, IA
National Provider Identifier
1801826144
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
22002 Issued in IA
Practice address
8131 University Blvd
Clive, IA 50325-1123
Phone
(515) 225-8180
Fax
(515) 225-2041
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 22002 IA Primary

Addresses

Primary practice location

8131 University Blvd
Clive, IA 50325-1123

Mailing address

8131 University Blvd
Clive, IA 50325-1123
Phone (515) 225-8180

Other identifiers 1

IdentifierTypeStateIssuer
1203315MedicaidIA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101103000686 IA Practitioner - Dermatology 5395939334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Iowa, RJ & L Carver College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1800 E 54TH St
Suite B
Davenport, IA 52807-2852
Phone (563) 344-7546

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions269
Removal or shaving of skin growth1-10
Skin biopsy109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22002IAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Soderstrom Dermatology Center S C CurrentSince May 1, 2022 Accepting new patients
Soderstrom Dermatology Center S C Dermatology CurrentSince May 1, 2022 Accepting new patients

Locations

2027 S 21st St
Clinton, IA 52732
Phone (563) 242-3571

1800 E 54th St
Ste B
Davenport, IA 52807
Phone (563) 242-3571

8131 University Blvd
Des Moines, IA 50325
Phone (515) 225-8180

609 SE Kent St
Greenfield, IA 50849
Phone (641) 743-2123

250 SW Brookside Dr
Grimes, IA 50111
Phone (515) 300-3900

610 10th St
Perry, IA 50220
Phone (515) 465-3547

4909 N Glen Park Place Rd
Peoria, IL 61614
Phone (309) 674-7546

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1801826144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 UNIVERSITY BLVD",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503251123",
            "telephone_number": "515-225-8180",
            "fax_number": "515-225-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 UNIVERSITY BLVD",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503251123",
            "telephone_number": "515-225-8180",
            "fax_number": "515-225-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLAN",
        "first_name": "STEVEN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "22002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1203315",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.