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DERMATOLOGY SPECIALISTS OF OMAHA LLC
NPI 1457551889
Dermatology in Omaha, NE

Active since July 24, 2007CLIA Certified · 2 labs
909 N 96TH ST STE 201, OMAHA, NE 68114(402) 330-4555(402) 330-4626 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dermatology Specialists Of Omaha Llc NPPES

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

DERMATOLOGY SPECIALISTS OF OMAHA LLC (NPI 1457551889), doing business as Dermatology Surgery Center Group, Llc, is a healthcare organization registered as a dermatology in Omaha, Nebraska and active in the NPI registry since July 2007. The organization holds 2 active CLIA laboratory certificates and lists Damita K Gilford, Director Of Business Office Service, as its authorized official.

NPPES Registry Identity

NPI1457551889
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY SPECIALISTS OF OMAHA LLC
Location Address909 N 96TH ST STE 201Omaha, NE 68114-2508
Mailing Address909 N 96th St Ste 201Omaha, NE 68114-2508 · (402) 330-4555 · Fax (402) 330-4626
Phone(402) 330-4555
Fax(402) 330-4626
Organization SubpartNo
Authorized OfficialDamita K GilfordDirector Of Business Office Service · (402) 763-1518
Enumeration DateJuly 24, 2007
Last NPPES UpdateMay 10, 2022
NPPES CertifiedMay 10, 2022
✔ NPI 1457551889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
909 N 96TH ST STE 201, Omaha, NE 68114
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Other Names 1

Former Legal Business NameDermatology Surgery Center Group, Llc

Other Identifiers 2

Other099992NE · Medicare Group
Medicaid10025555000NE

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 Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 Waiver 16D2247600

Dermatology Specialists Of Omaha A Forefront Dermatology Practice · Council Bluffs, IA
Active · expires Jan 6, 2028
CLIA Number16D2247600
Laboratory TypePhysician Office
Certificate Effective DateJanuary 7, 2026
Certificate Expiration DateJanuary 6, 2028
Laboratory DirectorSara E. West
Laboratory Phone(402) 330-4555
Laboratory LocationDermatology Specialists Of Omaha A Forefront Dermatology Practice808 E Pierce St, Ste 2, Council Bluffs, IA 51503
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 28D2317849

Dermatology Specialists Of Omaha Research · Omaha, NE
Active · expires Jan 30, 2027
CLIA Number28D2317849
Laboratory TypeClinical Research
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorTricia L. Hultgren
Laboratory Phone(615) 502-4310
Laboratory LocationDermatology Specialists Of Omaha Research909 N 96th St, Suite 104, Omaha, NE 68114
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Specialists Of Omaha LLC's NPI number?

The NPI number for Dermatology Specialists Of Omaha LLC is 1457551889. It was assigned to this organization in the NPPES registry on July 24, 2007. The provider was formerly known as Dermatology Surgery Center Group, LLC.

Where is Dermatology Specialists Of Omaha LLC located?

Dermatology Specialists Of Omaha LLC is located at 909 N 96th St Ste 201, Omaha, NE 68114. The listed phone number is (402) 330-4555.

What is Dermatology Specialists Of Omaha LLC's specialty?

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

Does Dermatology Specialists Of Omaha LLC hold CLIA laboratory certificates?

Yes. 2 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.

What insurance does Dermatology Specialists Of Omaha LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 1 other insurer list Dermatology Specialists Of Omaha LLC 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 Dermatology Specialists Of Omaha LLC was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.