IOWA DERMATOLOGY INSTITUTE, P.C.
NPI 1265636708
Plastic Surgery - Surgery of the Hand 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
- Organization
- Plastic Surgery
- Surgery of the Hand
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 Plastic Surgery, focusing in surgery of the hand . The healthcare provider is registered in the NPI registry with number 1265636708 assigned on June 2007. The practitioner's primary taxonomy code is 2082S0105X. The provider is registered as an organization and their NPI record was last updated one year ago. Iowa Dermatology Institute, P.c. operates as a Multi-Specialty Group with one or more individual practitioners, 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
- 09-11-2025
- Code Navigator
Location Map
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
Plastic Surgery Surgery of the Hand
- Taxonomy Code
- 2082S0105X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
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) |
|---|---|---|---|---|
| 1 | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | |
| 2 | 207ND0101X | Allopathic & Osteopathic Physicians | Dermatology | |
| 3 | 207ND0900X | Allopathic & Osteopathic Physicians | Dermatology | |
| 4 | 207NS0135X | Allopathic & Osteopathic Physicians | Dermatology | |
| 5 | 208200000X | Allopathic & Osteopathic Physicians | Plastic Surgery | |
| 6 | 2082S0099X | Allopathic & Osteopathic Physicians | Plastic Surgery |
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.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1265636708, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265636708, enumerated 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.
Plastic Surgery with taxonomy code 2082S0105X and a focus in Surgery of the Hand.
