Ducharme Dermatology, P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD-40967 Issued in IA

Legal business name

DUCHARME DERMATOLOGY, P.C.

Practice address

16349 Sheridan Drive
Suite 101
Clive, IA 50325

Phone

(515) 987-0333

Fax

(833) 288-7944

NPI assigned

Sep 12, 2017

Last updated

Aug 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alex Ducharme

Title

Manager

Phone

(515) 650-2914

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erin Ducharme, MD

  • Dermatology Physician
  • Clive, IA
  • NPI 1891961900
  Medicare reassignment Care Compare group NPD
• Ava Risa Feldman, D.O.

  • Dermatopathology Physician
  • Clive, IA
  • NPI 1891792958

  Dermatology

  Medicare reassignment Care Compare group NPD
• Elizabeth Jordan Hamer, P.A.-C

  • Medical Physician Assistant
  • West Des Moines, IA
  • NPI 1770093106
  Medicare reassignment Care Compare group NPD
• Amy S Eschweiler, P.A.-C.

  • Physician Assistant
  • Clive, IA
  • NPI 1720031974
  Medicare reassignment Care Compare group
• Kylea Ryther

  • Nurse Practitioner
  • West Des Moines, IA
  • NPI 1356762231
  Medicare reassignment NPD

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1891214896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16349 SHERIDAN AVE STE 101",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503254675",
            "telephone_number": "515-987-0333",
            "fax_number": "833-288-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16349 SHERIDAN DRIVE",
            "address_2": "SUITE 101",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "50325",
            "telephone_number": "515-987-0333",
            "fax_number": "833-288-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUCHARME DERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "DUCHARME",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "515-650-2914"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IA",
            "license": "MD-40967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dragonfly Counseling Associates, PLLC
• Chelsea Dreyer, M.ED, BCBA, LBA
• Logan David Driscoll
• DSM Sleep Specialists
• DSM Sleep Specialists
• Erin Ducharme, MD
• Kathleen M Duffy, P.A.-C
• Elisabeth Dykshorn, LMSW
• Stephen Eckstat, DO
• Kimberly Kay Edsen, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.