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ADVANCED DERMATOLOGY OF THE MIDLANDS PC
NPI 1497182273
Dermatology in Omaha, NE

Active since October 10, 2013CLIA Certified · 3 labs
12910 PIERCE ST STE 120, OMAHA, NE 68144(402) 933-3770(402) 933-3633 Get Directions Write a Review

NPPES record last updated: February 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Advanced Dermatology Of The Midlands Pc NPPES

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

ADVANCED DERMATOLOGY OF THE MIDLANDS PC (NPI 1497182273) is a healthcare organization registered as a dermatology in Omaha, Nebraska and active in the NPI registry since October 2013. The organization holds 3 active CLIA laboratory certificates and lists James M. Shehan, President, as its authorized official.

NPPES Registry Identity

NPI1497182273
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY OF THE MIDLANDS PC
Location Address12910 PIERCE ST STE 120Omaha, NE 68144-1106
Mailing Address2213 Grand AveDes Moines, IA 50312-5305 · (515) 237-3974 · Fax (515) 883-2692
Phone(402) 933-3770
Fax(402) 933-3633
Organization SubpartNo
Authorized OfficialJames M. ShehanPresident · (402) 933-3770
Enumeration DateOctober 10, 2013
Last NPPES UpdateFebruary 6, 2019
✔ NPI 1497182273 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.
12910 PIERCE ST STE 120, Omaha, NE 68144
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Other Identifiers 2

Medicaid1497182273IA
Medicaid100263840-00NE

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 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 of Compliance 28D2068808

Advanced Dermatology Of The Midlands, PC · Omaha, NE
Active · expires Apr 21, 2028
CLIA Number28D2068808
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorDr. James M. Shehan
Laboratory Phone(402) 933-3770
Laboratory LocationAdvanced Dermatology Of The Midlands, PC12910 Pierce Street, Suite 120, Omaha, NE 68144
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 28D2184966

Advanced Dermatology Of The Midlands, PC · Omaha, NE
Active · expires May 27, 2028
CLIA Number28D2184966
Laboratory TypePhysician Office
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorDr. James M. Shehan
Laboratory Phone(402) 933-3770
Laboratory LocationAdvanced Dermatology Of The Midlands, PC15805 W Maple Rd, Ste 104, Omaha, NE 68116
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 16D2068702

Advanced Dermatology Of The Midlands · Council Bluffs, IA
Active · expires May 9, 2027
CLIA Number16D2068702
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2025
Certificate Expiration DateMay 9, 2027
Laboratory DirectorDr. James M. Shehan
Laboratory Phone(402) 933-3770
Laboratory LocationAdvanced Dermatology Of The Midlands928 Valley View Drive Ste 12, Council Bluffs, IA 51503
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 5

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

JAMES M. SHEHAN M.D.
Dermatology
12910 PIERCE ST STE 120
OMAHA, NE 68144
Douglas County (402) 933-3770
JACOB JAMES RIDDER PA-C
Physician Assistant (Medical)
12910 PIERCE ST STE 120
OMAHA, NE 68144
Douglas County (402) 933-3770
SARA STEPHENSON PA-C
Dermatology
12910 PIERCE ST STE 120
OMAHA, NE 68144
Douglas County (402) 933-3770
RACHEL R. PERSON APRN
Dermatology
12910 PIERCE ST STE 120
OMAHA, NE 68144
Douglas County (402) 933-3770
DR. MATHEW ALAN DAVEY M.D.
Dermatology
12910 PIERCE ST STE 120
OMAHA, NE 68144
Douglas County (402) 933-3770

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 Advanced Dermatology Of The Midlands PC's NPI number?

The NPI number for Advanced Dermatology Of The Midlands PC is 1497182273. It was assigned to this organization in the NPPES registry on October 10, 2013.

Where is Advanced Dermatology Of The Midlands PC located?

Advanced Dermatology Of The Midlands PC is located at 12910 Pierce St Ste 120, Omaha, NE 68144. The listed phone number is (402) 933-3770.

What is Advanced Dermatology Of The Midlands PC's specialty?

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

Does Advanced Dermatology Of The Midlands 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.

What insurance does Advanced Dermatology Of The Midlands PC accept?

Health plans from Blue Cross and Blue Shield of Nebraska and Medica list Advanced Dermatology Of The Midlands 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 Advanced Dermatology Of The Midlands PC was last updated on February 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.