IOWA DERMATOLOGY INSTITUTE, P.C.
NPI 1265636708
Plastic Surgery - Surgery of the Hand in Clinton, IA

Active since June 11, 2007
2315 ROOSEVELT ST, CLINTON, IA 52732(563) 242-3571(563) 243-4971 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Iowa Dermatology Institute, P.c. NPPES

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

IOWA DERMATOLOGY INSTITUTE, P.C. (NPI 1265636708) is a healthcare organization registered as a surgery of the hand in Clinton, Iowa and active in the NPI registry since June 2007. The organization lists Carl W. Soderstrom, Physician, as its authorized official.

NPPES Registry Identity

NPI1265636708
Entity TypeOrganization
Primary Taxonomy2082S0105X
Legal Business NameIOWA DERMATOLOGY INSTITUTE, P.C.
Location Address2315 ROOSEVELT STClinton, IA 52732-2412
Mailing Address4909 N Glen Park Place RdPeoria, IL 61614-4676 · (309) 674-7546 · Fax (309) 282-0500
Fax(563) 243-4971
Organization SubpartNo
Authorized OfficialCarl W. SoderstromPhysician · (309) 674-7546
Enumeration DateJune 11, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1265636708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyPlastic Surgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2082S0105X
Definition
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.
Also ListedDermatologyTaxonomy 207N00000X
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
Also ListedPlastic SurgeryTaxonomy 208200000X
2315 ROOSEVELT ST, Clinton, IA 52732

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
2315 ROOSEVELT ST
CLINTON, IA 52732

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 Iowa Dermatology Institute, P.C.'s NPI number?

The NPI number for Iowa Dermatology Institute, P.C. is 1265636708. It was assigned to this organization in the NPPES registry on June 11, 2007.

Where is Iowa Dermatology Institute, P.C. located?

Iowa Dermatology Institute, P.C. is located at 2315 Roosevelt St, Clinton, IA 52732. The listed phone number is (563) 242-3571.

What is Iowa Dermatology Institute, P.C.'s specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Surgery of the Hand, with taxonomy code 2082S0105X.

When was this NPI record last updated?

The NPPES record for Iowa Dermatology Institute, P.C. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.