Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Epiphany Dermatology of Iowa, PLC

Organization Dermatology Physician · NPI 1104451749

Epiphany Dermatology of Iowa, PLC is a Dermatology Physician in Cedar Rapids, Iowa. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

5264 Council St NE Ste 700
Cedar Rapids, IA 52402-2477
Phone: (319) 363-9963
Fax: (319) 363-0520
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1104451749
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gheorghe Pusta — Executive Director · (512) 628-0465
NPI enumeratedMarch 4, 2020
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023
Mailing address7300 Ranch Rd. 2222, Bldg 1, Ste 200, Austin, TX 78730-3255

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