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CENTER OF DERMATOLOGY, PC
NPI 1053461137
Dermatology in Omaha, NE

Active since January 11, 2007CLIA 28D0453937 · Certificate of Compliance
10110 NICHOLAS STREET, SUITE #103, OMAHA, NE 68114(402) 398-9200(402) 398-9400 Get Directions Write a Review

NPPES record last updated: February 18, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Center Of Dermatology, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTER OF DERMATOLOGY, PC (NPI 1053461137) is a healthcare organization registered as a dermatology in Omaha, Nebraska and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through May 10, 2028 and lists Herschel E Stoller, President, as its authorized official.

NPPES Registry Identity

NPI1053461137
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCENTER OF DERMATOLOGY, PC
Location Address10110 NICHOLAS STREET, SUITE #103Omaha, NE 68114-2185
Mailing Address10110 Nicholas Street, Suite #103Omaha, NE 68114-2185 · (402) 398-9200 · Fax (402) 398-9400
Phone(402) 398-9200
Fax(402) 398-9400
Organization SubpartNo
Authorized OfficialHerschel E StollerPresident · (402) 398-9200
Enumeration DateJanuary 11, 2007
Last NPPES UpdateFebruary 18, 2010
✔ NPI 1053461137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NE · NE13516
Definition
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.
10110 NICHOLAS STREET, Omaha, NE 68114
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Other Identifiers 3

Medicaid=========02NE
Medicare UPINB67761NE
Medicare ID-Type Unspecified092249NE · Medicare Corporate

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 28D0453937

Center Of Dermatology PC · Omaha, NE
Active · expires May 10, 2028
CLIA Number28D0453937
Laboratory TypePhysician Office
Certificate Effective DateMay 11, 2026
Certificate Expiration DateMay 10, 2028
Laboratory DirectorDr. Herschel E. Stoller
Laboratory Phone(402) 398-9200
Laboratory LocationCenter Of Dermatology PC10110 Nicholas St Suite 103, Omaha, NE 68114
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Center Of Dermatology, PC's NPI number?

The NPI number for Center Of Dermatology, PC is 1053461137. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is Center Of Dermatology, PC located?

Center Of Dermatology, PC is located at 10110 Nicholas Street Suite #103, Omaha, NE 68114. The listed phone number is (402) 398-9200.

What is Center Of Dermatology, PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Center Of Dermatology, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 28D0453937) is associated with this NPI, valid through May 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Center Of Dermatology, PC accept?

Health plans from Blue Cross and Blue Shield of Nebraska and Medica list Center Of Dermatology, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Center Of Dermatology, PC was last updated on February 18, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.