Greater Des Moines Dermatology Pc

LBN: Greater Des Moines Dermatology Pc
Greater Des Moines Dermatology Pc is an health care organization with primary practice located at 2424 128Th St Nw 128Th Street, Urbandale IA 50323-1816. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Greater Des Moines Dermatology Pc can be contacted via phone (515) 243-8676, or through Abrahamson, Timothy Garth via phone (515) 243-8676.

Contact Information

Primary practice address
2424 128Th St Nw 128Th Street Urbandale IA 50323-1816
Phone: (515) 243-8676
Fax: (515) 243-0487
Website:
Map and Directions
Authorized official contact:
Name: Abrahamson, Timothy Garth Doctor of Medicine (MD)
Phone: (515) 243-8676

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 33182 Iowa

Profile Details

NPI number 1730188160
LBN Legal business name Greater Des Moines Dermatology Pc
DBA Doing business as
Authorized official Abrahamson, Timothy Garth Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2005
Last updated Mar 24th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730188160 NPPES
Iowa MEDICAID 0255075

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