Dermatology Clinic of Iowa PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

33078 Issued in IA

Legal business name

DERMATOLOGY CLINIC OF IOWA PC

Practice address

1815 1St Ave SE
Suite 200
Cedar Rapids, IA 52402-5434

Phone

(319) 363-0474

Fax

(319) 363-2170

NPI assigned

May 17, 2007

Last updated

May 27, 2010By 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

Mrs. Barbara Ann Pfeiffer, CMA

Title

Office Manager

Phone

(319) 363-0474

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 11

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.

• Emily Boes, D.O.

  • Dermatology Physician
  • Cedar Rapids, IA
  • NPI 1417307497
  Medicare reassignment Care Compare group NPD
• Lauren Elizabeth Doughty-McDonald, M.D.

  • Specialist
  • Cedar Rapids, IA
  • NPI 1114119229
  Medicare reassignment Care Compare group NPD
• Jessica Joy Hein, PA-C

  • Physician Assistant
  • Cedar Rapids, IA
  • NPI 1376893503
  Medicare reassignment Care Compare group NPD
• David Lowell Knutson II, M.D.

  • Dermatology Physician
  • Cedar Rapids, IA
  • NPI 1720025414
  Medicare reassignment Care Compare group NPD
• Matthew John Landherr, M.D.

  • Dermatology Physician
  • Cedar Rapids, IA
  • NPI 1033554498
  Medicare reassignment Care Compare group NPD
• Chelsi Cervetti Miller, FNP

  • Family Nurse Practitioner
  • Cedar Rapids, IA
  • NPI 1912230426
  Medicare reassignment Care Compare group NPD
• Caroline Morris, M.D.

  • MOHS-Micrographic Surgery Physician
  • Cedar Rapids, IA
  • NPI 1134579535
  Medicare reassignment Care Compare group NPD
• Rachae A Jensen, PA-C

  • Medical Physician Assistant
  • Cedar Rapids, IA
  • NPI 1407024037
  Medicare reassignment Care Compare group
• Stacy M Kirby, PA-C

  • Dermatology Physician
  • Cedar Rapids, IA
  • NPI 1235393851
  Medicare reassignment Care Compare group
• Jordan Carmen Meeker, PA-C

  • Physician Assistant
  • Fulshear, TX
  • NPI 1609268762

  IA

  Medicare reassignment Care Compare group
• Amanda B. Wendel, M.D.

  • Dermatology Physician
  • St Charles, IL
  • NPI 1699973131
  NPD

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1962610725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 FIRST AVE SE",
            "address_2": "SUITE 200",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52402",
            "telephone_number": "319-363-0474",
            "fax_number": "319-363-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 1ST AVE SE",
            "address_2": "SUITE 200",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025434",
            "telephone_number": "319-363-0474",
            "fax_number": "319-363-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY CLINIC OF IOWA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "PFEIFFER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "319-363-0474",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IA",
            "license": "33078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Health Partners PC
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• Carol Depaepe, RN
• Derfus Counseling Services, Inc.
• Richelle L Derfus, LISW, CADC
• Kristi Ann Derycke
• Kandis Despain
• Madelyn Deutsch
• Arthur William Devine Jr., MD
• Dewitt Family Chiropractic PC

• Specialist in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Specialist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.