MUSCATINE DERMATOLOGY PLC NPI 1255538591

NPI Information

  • NPI: 1255538591
  • Provider Name: MUSCATINE DERMATOLOGY, PLC
  • Classification: Dermatology - 207NS0135X
  • Specialization: Procedural Dermatology
  • Entity Type: Organization
  • CLIA Number: 16D1077871
  • Address: 2300A PARK AVE
    MUSCATINE, IA
    ZIP 52761
  • Phone: (563) 263-2113

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NPI Details

MUSCATINE DERMATOLOGY, PLC is a procedural dermatology dermatology in Muscatine, IA. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). MUSCATINE DERMATOLOGY, PLC NPI is 1255538591. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2300A PARK AVE
MUSCATINE, IA
ZIP 52761-444
Phone: (563) 263-2113
Fax: (563) 263-2619

The provider's authorized official is Meriner Martin Pereira .
The authorized official title is Physician and has the following contact phone number (563) 263-2113.

The CLIA number assigned to this NPI record is 16D1077871 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2007 and was last updated on 9/25/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyNo
2207ND0101XDermatologyMOHS-Micrographic SurgeryNo
3207NP0225XDermatologyPediatric DermatologyNo
4207NS0135XDermatologyProcedural DermatologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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