Provider Demographics
NPI:1467446765
Name:HEMMINGSON VANBEEK, MARTA JANE (MD MPH)
Entity Type:Individual
Prefix:
First Name:MARTA
Middle Name:JANE
Last Name:HEMMINGSON VANBEEK
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:
Other - First Name:MARTA
Other - Middle Name:JANE
Other - Last Name:HEMMINGSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-0556
Mailing Address - Fax:319-356-8317
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-0556
Practice Address - Fax:319-356-8317
Is Sole Proprietor?:No
Enumeration Date:2005-09-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA33466207N00000X, 207NS0135X, 207ND0101X
KY33466207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA28468OtherWELLMARK BCBS
IA0241711Medicaid
IA28468OtherWELLMARK BCBS
H36055Medicare UPIN
IAI2013Medicare PIN