State University of Iowa
NPI 1972955169ActiveOrganization· Dermatology· Bettendorf, IA
Dermatology in Bettendorf, Iowa, registered in NPPES in July 2016. The authorized official on file is Philip E. Roudabush, Assistant Vice President.
Overview
| NPI | 1972955169 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 12, 2016 |
| Last updated in NPPES | Jul 18, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dermatology providers in Bettendorf
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- 1497754295