Organization Profile
Soderstrom Dermatology Center S C
Unclaimed ProfileAbout Soderstrom Dermatology Center S C
Soderstrom Dermatology Center S C is an organization based in Peoria, IL and listed in the NPI registry under ambulatory surgical center. According to Medicare claims data, the services billed most often include removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm, and complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm. This provider record is associated with NPI 1053362343.
Factual summary compiled by Guide.md from public records; not written by this provider.
Practice Size
Counted from individual NPI records registered at the same street address; a shared building can inflate this.
Providers in This Building & Nearby
From registry street addresses: providers filed at this building, which can include unrelated practices sharing it.
- Taylor M. Wells, MD Dermatology
- Madeline Taylor Nurse Practitioner
- Carl W. Soderstrom, M.D. Dermatopathology
- James M. Jeffries, MD Plastic and Reconstructive Surgery
- Stuart H. Berryman, PA-C Physician Assistant
- Jordyn Lewandowski, APRN Nurse Practitioner
- Tesfu Hailu, MD Pathology
- John E. Lomax, M.D. Plastic Surgery
- Michelle L. Roth, PA Physician Assistant
- Todd Gerlach, MD Plastic and Reconstructive Surgery
- Sarah Christensen, PA-C Physician Assistant — Medical
Showing 11 of 15. The full list is in the Related Providers tab.
Specialty
Credentials & Licensing
Contact Information
- (309) 690-6012
- Email not available
Practice Locations
4909 N GLEN PARK PLACE RD
Peoria, IL 61614
Procedures Most Often Billed to Medicare
2,152 services · 1,986 patients · 25 distinct codes
| Procedure | Type | Code | Services |
|---|---|---|---|
| Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | Procedure | 17311 |
698 |
| Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | Procedure | 13121 |
274 |
| Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | Procedure | 13132 |
254 |
| Complicated repair of wound of trunk, 2.6-7.5 cm | Procedure | 13101 |
128 |
| Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less | Procedure | 14060 |
119 |
| Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm | Procedure | 11602 |
90 |
| Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm | Procedure | 13152 |
87 |
| Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm | Procedure | 11603 |
80 |
| Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm | Procedure | 11606 |
68 |
| Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | Procedure | 17313 |
34 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Also at Soderstrom Dermatology Center S C 1
Providers listing the same practice in the NPI registry.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Common questions
What is Soderstrom Dermatology Center S C's specialty?
Soderstrom Dermatology Center S C is an ambulatory surgical center in Peoria, IL. That is the designation recorded for this NPI in the federal registry.
NPI registry
Where can I find Soderstrom Dermatology Center S C?
Soderstrom Dermatology Center S C is listed at 4909 N Glen Park Place Rd, Peoria, IL 61614. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
How do I contact Soderstrom Dermatology Center S C?
The number on file is (309) 690-6012. Contact the office directly to confirm availability and scheduling.
NPI registry
What is the NPI for Soderstrom Dermatology Center S C?
Soderstrom Dermatology Center S C's National Provider Identifier is 1053362343. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
What is Soderstrom Dermatology Center S C known for?
According to Medicare billing data, Soderstrom Dermatology Center S C performs procedures including removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm and complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Is Soderstrom Dermatology Center S C's profile verified?
Not yet. This profile is built from public federal data and has not been confirmed by Soderstrom Dermatology Center S C. If this is you, claiming it is free.
Guide.md
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