IOWA DERMATOLOGY INSTITUTE, P.C.
NPI 1265636708
Dermatology in Clinton, IA

NPI Status: Active since June 11, 2007

Contact Information

2315 ROOSEVELT ST
CLINTON, IA
ZIP 52732
Phone: (563) 242-3571
Fax: (563) 243-4971

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  • Organization
  • Dermatology

About IOWA DERMATOLOGY INSTITUTE, P.C.

This page provides the complete NPI Profile along with additional information for Iowa Dermatology Institute, P.c., a provider established in Clinton, Iowa operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1265636708 assigned on June 2007. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Iowa Dermatology Institute, P.c. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Carl W. Soderstrom M.d. (Physician)

NPI
1265636708
Provider Name
IOWA DERMATOLOGY INSTITUTE, P.C.
Entity Type
Organization
Location Address
2315 ROOSEVELT ST CLINTON, IA 52732
Location Phone
(563) 242-3571
Location Fax
(563) 243-4971
Mailing Address
4909 N GLEN PARK PLACE RD PEORIA, IL 61614
Mailing Phone
(309) 674-7546
Mailing Fax
(563) 243-4971
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-11-2007
Last Update Date
08-22-2020
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A dermatologist like Iowa Dermatology Institute, 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
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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. CARL W. SODERSTROM M.D.

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(309) 674-7546

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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.
1265636708
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221251231270
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 2 + 3 + 1 + 2 + 7 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1265636708 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568656999ROBERT G GERMAN MD PC
Organization
Dermatology2315 ROOSEVELT ST
CLINTON, IA 52732
(563) 242-3571

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265636708, enumerated in the NPI registry as an "organization" on June 11, 2007

The provider is located at 2315 Roosevelt St Clinton, Ia 52732 and the phone number is (563) 242-3571

This medical organization specializes in Dermatology with taxonomy code 207N00000X

This NPI record was last updated on June 11, 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].
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