ACCREDITED DERMATOLOGY ASSOCIATES, P.C.
NPI 1326176983
Dermatology in Davenport, IA

NPI Status: Active since March 02, 2007

Contact Information

2322 E KIMBERLY RD
SUITE N100
DAVENPORT, IA
ZIP 52807
Phone: (563) 355-3376

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  • Organization
  • Dermatology
  • CLIA Number: 16D0388005
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-22-2026

About ACCREDITED DERMATOLOGY ASSOCIATES, P.C.

This page provides the complete NPI Profile along with additional information for Accredited Dermatology Associates, P.c., a provider established in Davenport, Iowa operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1326176983 assigned on March 2007. The practitioner's primary taxonomy code is 207N00000X with license number 17538 (IA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Robert F. Godwin M.d. (President)

NPI
1326176983
Provider Name
ACCREDITED DERMATOLOGY ASSOCIATES, P.C.
Entity Type
Organization
Location Address
2322 E KIMBERLY RD SUITE N100 DAVENPORT, IA 52807
Location Phone
(563) 355-3376
Mailing Address
2322 E KIMBERLY RD SUITE N100 DAVENPORT, IA 52807
Mailing Phone
(563) 355-3376
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-02-2007
Last Update Date
08-22-2020
Code Navigator

A dermatologist like Accredited Dermatology Associates, P.c. is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License No.
17538
License State
IA
Taxonomy Description
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ROBERT F. GODWIN M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(563) 355-3376

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0090084MEDICAID (05)IA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
16D0388005
Facility Type
Physician Office
Certificate Effective Date
February 23, 2024
Certificate Expiration Date
February 22, 2026
Laboratory Director
MICHAEL J. MESSINGHAM
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Accredited Dermatology Associates, P.c. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1326176983
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23462712916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 4 + 6 + 2 + 7 + 1 + 2 + 9 + 1 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1326176983 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518931153DR. EUGENE L KERNS MD
Individual
Obstetrics & Gynecology2322 E KIMBERLY RD
DAVENPORT, IA 52807
(563) 355-1853
1548234859DR. DELOS D HANSEN MD
Individual
Obstetrics & Gynecology2322 E KIMBERLY RD
DAVENPORT, IA 52807
(563) 355-1853
1144296534DR. HAROLD L MIHM M.D.
Individual
Obstetrics & Gynecology2322 E KIMBERLY RD SUITE 30W
DAVENPORT, IA 52807
(563) 355-1853
1841367075 MICHAEL R KRAMER AUDIOLOGIST
Individual
Audiologist2322 E KIMBERLY RD PAUL REVERE SQUARE
DAVENPORT, IA 52807
(563) 355-3332
1326186511DR. DAVID A. CHAVEZ DC
Individual
Chiropractor2322 E KIMBERLY RD
DAVENPORT, IA 52807
(563) 355-3815
1356477475DR. JAMES ANDREW LARSEN D.D.S.
Individual
Dentist (General Practice)2322 E KIMBERLY RD SUITE 200W
DAVENPORT, IA 52807
(563) 355-4544
1073649190DR. CAROLYN PETERS LARSEN D.D.S.
Individual
Dentist (General Practice)2322 E KIMBERLY RD SUITE 200W
DAVENPORT, IA 52807
(563) 355-4544
1790813368DR. ROBERT F. GODWIN M.D.
Individual
Dermatology2322 E KIMBERLY RD SUITE N100
DAVENPORT, IA 52807
(563) 355-3376
1851623367ALLEN L DIERCKS DC PC
Organization
Chiropractor2322 E KIMBERLY RD
DAVENPORT, IA 52807
(563) 388-9492
1780966804NEW LIFE OUTPATIENT CENTER
Organization
Community/Behavioral Health2322 E KIMBERLY RD STE. 200 NORTH
DAVENPORT, IA 52807
(563) 355-0055
1104085497MRS. MARY BETH JOHNSON ARNP
Individual
Nurse Practitioner2322 E KIMBERLY RD
DAVENPORT, IA 52807
(563) 355-1853
1750706909 CHERYL KAY SHOVLAIN CADC
Individual
Counselor (Addiction (Substance Use Disorder))2322 E KIMBERLY RD SUITE 200 NORTH
DAVENPORT, IA 52807
(563) 355-0055
1205251345 COURTNEY HILL LCPC, CADC
Individual
Counselor (Addiction (Substance Use Disorder))2322 E KIMBERLY RD
DAVENPORT, IA 52807
(563) 355-0055
1699913061 NICOLE MARIE LUSZCZYK PA-C
Individual
Physician Assistant (Medical)2322 E KIMBERLY RD STE 100N
DAVENPORT, IA 52807
(563) 355-3376
1487672093DR. LEONARD L. WEISS D.C.
Individual
Chiropractor2322 E KIMBERLY RD SUITE 120N
DAVENPORT, IA 52807
(563) 324-2225
1871768242WEISS FAMILY CHIROPRACTIC
Organization
Chiropractor2322 E KIMBERLY RD SUITE 120N
DAVENPORT, IA 52807
(563) 324-2225
1043682875 MARIA TERESE MENSTER MSE, IADC
Individual
Counselor (Addiction (Substance Use Disorder))2322 E KIMBERLY RD STE. 200 NORTH
DAVENPORT, IA 52807
(563) 355-0055
1740651579NEW LIFE OUTPATIENT CENTER
Organization
Community/Behavioral Health2322 E KIMBERLY RD STE. 200 NORTH
DAVENPORT, IA 52807
(563) 355-0055
1548235096DR. KIMBERLY ANN DIERCKS-OETZEL D.C.
Individual
Chiropractor2322 E KIMBERLY RD
DAVENPORT, IA 52807
(563) 359-0899
1992771695DR. ALLEN LEE DIERCKS D.C.
Individual
Chiropractor2322 E KIMBERLY RD C 1
DAVENPORT, IA 52807
(563) 388-9492

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326176983, enumerated in the NPI registry as an "organization" on March 02, 2007

The provider is located at 2322 E Kimberly Rd Suite N100 Davenport, Ia 52807 and the phone number is (563) 355-3376

This medical organization specializes in Dermatology with taxonomy code 207N00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 16D0388005 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on March 02, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.