Kimberly K. Schulz

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

32786 Issued in IA

Legal business name

KIMBERLY K. SCHULZ

Doing business as

Town Square Dermatology, PLC

Practice address

1100 6TH St
Suite 202
Coralville, IA 52241-1755

Phone

(319) 337-4566

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Robin Ann Christianson

Title

Practice Administrator

Phone

(319) 337-4566

Specialties & licenses 3

Addresses

Other identifiers 8

Other names 1

• Town Square Dermatology, PLC Doing business as

Practitioners 7

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

• Emily Boes, D.O.

  • Dermatology Physician
  • Cedar Rapids, IA
  • NPI 1417307497
  NPD
• Heather Marie Ciliberto, MD

  • Dermatology Physician
  • Iowa City, IA
  • NPI 1447408869
  NPD
• Alexandra Jane Collins, FNP-C

  • Nurse Practitioner
  • Coralville, IA
  • NPI 1841068855
  NPD
• Rachae A Jensen, PA-C

  • Medical Physician Assistant
  • Cedar Rapids, IA
  • NPI 1407024037
  NPD
• Jody Kathleen McKee, PA

  • Physician Assistant
  • Coralville, IA
  • NPI 1811967219
  NPD
• Kristi Robson, MD

  • Specialist
  • Coralville, IA
  • NPI 1730128653
  NPD
• Hobart W Walling, M.D.

  • MOHS-Micrographic Surgery Physician
  • Coralville, IA
  • NPI 1477506814
  NPD

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1952331605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 6TH ST",
            "address_2": "SUITE 202",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411755",
            "telephone_number": "319-337-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 6TH ST",
            "address_2": "SUITE 202",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411755",
            "telephone_number": "319-337-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY K. SCHULZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "319-337-4566",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "IA",
            "license": "32786",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "IA",
            "license": "31541",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001292",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0466557",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI -WALLING",
            "identifier": "14-77506814",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "I20222",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2208108",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0497545",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI -SCHULZ",
            "identifier": "12-25017718",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - ROBSON",
            "identifier": "17-30128653",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - MCKEE",
            "identifier": "18-11967219",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town Square Dermatology, PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Ann Kelly, D.C.
• Griffin Kelly
• Nathan Peter Kepros
• Meghan P Kern
• Lindsay Ketels, M.A. CCC-SLP
• Cayla King
• Samuel E Kinzer, MD
• Sarah Klahs, LMSW
• Michael Wayne Klein, M.D.
• Courtney Kleinschmidt, LISW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.