IOWA DERMATOLOGY INSTITUTE, P.C. – NPI #1265636708
Plastic Surgery

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

IOWA DERMATOLOGY INSTITUTE, P.C. is a plastic surgeon located in CLINTON, IA. NPPES has assigned the NPI number 1265636708 to IOWA DERMATOLOGY INSTITUTE, P.C. on June 11, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2082S0105X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery, specializing in Surgery of the Hand Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IOWA DERMATOLOGY INSTITUTE, P.C. below.

NPI Profile for
IOWA DERMATOLOGY INSTITUTE, P.C.

NPI Number
1265636708
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IOWA DERMATOLOGY INSTITUTE, P.C.
Primary location
2315 ROOSEVELT ST
CLINTON, IA 52732-2412
Phone: (563) 242-3571 Fax: (563) 243-4971
Mailing address
4909 N GLEN PARK PLACE RD
PEORIA, IL 61614-4676
Phone: (309) 674-7546 Fax: (309) 282-0500
Organization Subpart
No
Authorized Official
CARL SODERSTROM
PHYSICIAN
Phone: (309) 674-7546
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.