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DR. NICOLE ANTOINETTE NEGBENEBOR MD NPI 1740773597


NPI Information

NPI: 1740773597
Provider Name: DR. NICOLE ANTOINETTE NEGBENEBOR, MD
Classification: Dermatology - 207ND0101X
Entity Type: Individual

Specialization: MOHS-Micrographic Surgery

PECOS Registration: Yes

Address:
200 HAWKINS DR
IOWA CITY, IA
ZIP 52242
Phone: (319) 356-2856
Get Directions

DR. Nicole Antoinette Negbenebor, MD is a mohs-micrographic surgery dermatology in Iowa City, IA with 6 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. DR. Nicole Antoinette Negbenebor, MD NPI is 1740773597. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduation Year:2018

The provider's business location address is:

200 HAWKINS DR
IOWA CITY, IA
ZIP 52242-009
Phone: (319) 356-2856
Fax: (319) 356-8317

The NPI 1740773597 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/7/2018 and was last updated on 8/3/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyMD-51638IOWANo
2207ND0900XDermatologyDermatopathologyMD-51638IOWANo
3207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyMD-51638IOWANo
4207NS0135XDermatologyProcedural DermatologyMD-51638IOWANo
5207R00000XInternal MedicineLP04304RHODE ISLANDNo
6207ND0101XDermatologyMOHS-Micrographic SurgeryMD-51638IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1LP04304MEDICAIDRHODE ISLAND

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.