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DERMATOLOGY AND SURGERY, PC
NPI 1407955198
Dermatology in Perry, IA

Active since September 21, 2006CLIA Certified · 3 labs
610 10TH ST, PERRY, IA 50220(515) 465-8111(515) 241-2013 Get Directions Write a Review

NPPES record last updated: December 15, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dermatology And Surgery, Pc NPPES

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

DERMATOLOGY AND SURGERY, PC (NPI 1407955198) is a healthcare organization registered as a dermatology in Perry, Iowa and active in the NPI registry since September 2006. The organization holds 3 active CLIA laboratory certificates and lists Andrew K Bean, President, as its authorized official.

NPPES Registry Identity

NPI1407955198
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY AND SURGERY, PC
Location Address610 10TH STPerry, IA 50220-2221
Mailing Address5910 Ashworth Rd # 222West Des Moines, IA 50266-7108 · (515) 241-2000 · Fax (515) 241-2013
Phone(515) 465-8111
Fax(515) 241-2013
Organization SubpartNo
Authorized OfficialAndrew K BeanPresident · (515) 210-4855
Enumeration DateSeptember 21, 2006
Last NPPES UpdateDecember 15, 2008
✔ NPI 1407955198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IA · 28377
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.
610 10TH ST, Perry, IA 50220
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Other Identifiers 1

Medicare OSCAR/certificationI18475IA

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

CLIA Laboratory Certificates CMS CLIA 3

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 for Provider-Performed Microscopy Procedures (PPMP) 16D2078554

Dermatology PC · Ankeny, IA
Active · expires Apr 20, 2027
CLIA Number16D2078554
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2025
Certificate Expiration DateApril 20, 2027
Laboratory DirectorJoshua B. Wilson
Laboratory Phone(515) 241-2000
Laboratory LocationDermatology PC800 E 1st Street, Suite 2900, Ankeny, IA 50021
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 16D2094636

Dermatology PC · Indianola, IA
Active · expires Apr 20, 2027
CLIA Number16D2094636
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2025
Certificate Expiration DateApril 20, 2027
Laboratory DirectorJoshua B. Wilson
Laboratory Phone(515) 241-2000
Laboratory LocationDermatology PC2006 North 4th Street, Suite 100, Indianola, IA 50125
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Compliance 16D0383358

Dermatology, PC · West Des Moines, IA
Active · expires Apr 12, 2027
CLIA Number16D0383358
Laboratory TypePhysician Office
Certificate Effective DateApril 13, 2025
Certificate Expiration DateApril 12, 2027
Laboratory DirectorDr. Roger I. Ceilley
Laboratory Phone(515) 241-2000
Laboratory LocationDermatology, PC6000 University Avenue Suite 450, West Des Moines, IA 50266
CLIA data matches this NPI record on: 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.

Other Providers at the Same Location NPPES 19

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

TERESA LYNN WHITE PTA
Physical Therapy Assistant
610 10TH ST
PERRY, IA 50220
Dallas County (515) 465-7672
CLINT JAMES LUTTERMAN DPT
Physical Therapist
610 10TH ST
PERRY, IA 50220
Dallas County (515) 465-7672
MONICA SEXTON PEITZ LISW
Social Worker (Clinical)
610 10TH ST
PERRY, IA 50220
Dallas County (515) 465-7541
MATTHEW MACDOUGALL DPT
Physical Therapist
610 10TH ST
PERRY, IA 50220
Dallas County (515) 465-7672
MEGAN LAUREN HICKS TLMHC
Counselor (Mental Health)
610 10TH ST
PERRY, IA 50220
Dallas County (515) 465-7541
KRISTIN HOLTHAUS DPT
Physical Therapist
610 10TH ST
PERRY, IA 50220
Dallas County (515) 465-7672
CRAIG GROEHN
Social Worker (Clinical)
610 10TH ST
PERRY, IA 50220
Dallas County (515) 465-7541
ELIZABETH SCHARES PHARMD
Pharmacist
610 10TH ST
PERRY, IA 50220
Dallas County (515) 465-7652

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 Dermatology And Surgery, PC's NPI number?

The NPI number for Dermatology And Surgery, PC is 1407955198. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is Dermatology And Surgery, PC located?

Dermatology And Surgery, PC is located at 610 10th St, Perry, IA 50220. The listed phone number is (515) 465-8111.

What is Dermatology And Surgery, PC's specialty?

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

Does Dermatology And Surgery, PC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Dermatology And Surgery, PC was last updated on December 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.