Carl W Soderstrom Jr.
SODERSTROM DERMATOLOGY CENTER S C


Address: 2315 Roosevelt St, Clinton, IA 52732-2412
Phone: 5632423571

Carl W Soderstrom Jr. (NPI# 1053370759, PAC ID# 5496775082) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.

Physician Overview

Nation Provider ID (NPI) 1053370759
PAC ID by PECOS 5496775082
Professional Enrollment ID I20091130000143
Full Name Carl W Soderstrom Jr.
Organization Legal Name SODERSTROM DERMATOLOGY CENTER S C
Address 2315 Roosevelt St
Clinton
IA 52732-2412
Phone Number 5632423571
Gender M
Graduation Year 1967
Primary Specialty DERMATOLOGY
Group Practice PAC ID 2062432651
Number of Group Practice Members 18
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140064 ST MARY MEDICAL CENTER

Other Locations

Address Phone Organization
2315 Roosevelt St, Clinton, IA 52732-2412 5632423571 SODERSTROM DERMATOLOGY CENTER S C
1800 E 54th St B, Davenport, IA 52807-2852 5633447546 SODERSTROM DERMATOLOGY CENTER S C
60 S Soangetaha Rd, Galesburg, IL 61401-7524 3093445777 SODERSTROM DERMATOLOGY CENTER S C
2100 Jacobssen Dr, Normal, IL 61761-2499 3092689980 SODERSTROM DERMATOLOGY CENTER S C
4909 N Glen Park Place Rd, Peoria, IL 61614-4676 3096747546 SODERSTROM DERMATOLOGY CENTER S C
2200 Marquette Rd, Peru, IL 61354-1547 8152247400 SODERSTROM DERMATOLOGY CENTER S C

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_047_overall Care Plan 2%
MIPS_EC_137_overall Melanoma: Continuity of Care - Recall System 58%
MIPS_EC_138_overall Melanoma: Coordination of Care 40%
MIPS_EC_224_overall Melanoma: Overutilization of Imaging Studies in Melanoma 97%
MIPS_EC_265_overall Biopsy Follow-Up 100%
MIPS_EC_402_overall Tobacco Use and Help with Quitting Among Adolescents 83%
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 80%

Organization Information

Organization Legal Name SODERSTROM DERMATOLOGY CENTER S C
Physicians 18

Physicians with the same organization

Name Specialty Organization Address
Nour Almardini Pathology Soderstrom Dermatology Center S C 4909 N Glen Park Place Rd, Peoria, IL 61614-4676
James M Jeffries Iii Plastic and Reconstructive Surgery Soderstrom Dermatology Center S C 60 S Soangetaha Rd, Galesburg, IL 61401-7524
Stuart H Berryman Physician Assistant Soderstrom Dermatology Center S C 2200 Marquette Rd, Peru, IL 61354-1547
Carissa L Pardekooper Physician Assistant Soderstrom Dermatology Center S C 2315 Roosevelt St, Clinton, IA 52732-2412
Joy M Watson Physician Assistant Soderstrom Dermatology Center S C 2315 Roosevelt St, Clinton, IA 52732-2412
Chen Wang Pathology Soderstrom Dermatology Center S C 4909 N Glen Park Place Rd, Peoria, IL 61614-4676
Jennifer G Tomelden Physician Assistant Soderstrom Dermatology Center S C 2200 Marquette Rd, Peru, IL 61354-1547
John E Lomax Plastic and Reconstructive Surgery Soderstrom Dermatology Center S C 4909 N Glen Park Place Rd, Peoria, IL 61614-4676
Michelle L Roth Physician Assistant Soderstrom Dermatology Center S C 60 S Soangetaha Rd, Galesburg, IL 61401-7524
Katherine E Shindelar Physician Assistant Soderstrom Dermatology Center S C 2315 Roosevelt St, Clinton, IA 52732-2412

Office Location

Street Address 2315 ROOSEVELT ST
City CLINTON
State IA
Zip 52732-2412

Physicians in the same location

Name Specialty Organization Address
Carissa L Pardekooper Physician Assistant Soderstrom Dermatology Center S C 2315 Roosevelt St, Clinton, IA 52732-2412
Joy M Watson Physician Assistant Soderstrom Dermatology Center S C 2315 Roosevelt St, Clinton, IA 52732-2412
Katherine E Shindelar Physician Assistant Soderstrom Dermatology Center S C 2315 Roosevelt St, Clinton, IA 52732-2412
Meriner M Pereira Dermatology Soderstrom Dermatology Center S C 2315 Roosevelt St, Clinton, IA 52732-2412
Michael L Hayes Dermatology Soderstrom Dermatology Center S C 2315 Roosevelt St, Clinton, IA 52732-2412

Physicians in the same zip code

Name Specialty Organization Address
Ryan P Connell Chiropractic 1485 Main Ave, Clinton, IA 52732-1976
Donald G Flory Family Practice Medical Associates of Clinton Iowa Plc 2400 Lillian Way, Clinton, IA 52732-2001
Elliot M Galey Family Medicine Genesis Health System 221 Main Ave, Clinton, IA 52732-2241
Richard B Forrest Chiropractic Ruden- Forrest Chiropractic PC 80 23rd Ave N, Clinton, IA 52732-2401
Thea M Ruden Chiropractic Ruden- Forrest Chiropractic PC 80 23rd Ave N, Clinton, IA 52732-2401
Shirley J Haverly Felten Speech Language Pathologist Providence Therapy Services LLC 2320 N 2nd St, Clinton, IA 52732-2434
Cynthia A Winter Speech Language Pathologist Providence Therapy Services LLC 2320 N 2nd St, Clinton, IA 52732-2434
Annette M Stockwell Chiropractic 1805 N 2nd St, Burkert Chiropractic Center (bcc), Clinton, IA 52732-2642
Kenneth D Womboldt Jr. Chiropractic 1721 N 2nd St, Clinton, IA 52732-2644
Stephanie G Holesinger Nurse Practitioner City Medical Partners Pa 600 14th Ave N, Mercy Living Center North, Clinton, IA 52732-2914
Find all physicians in zip 52732

Competitor

Search similar physicians

City CLINTON
Zip Code 52732
Specialty DERMATOLOGY
City + Specialty CLINTON + DERMATOLOGY

Improve Information

Please comment or provide details below to improve the information on Carl W Soderstrom Jr..

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

Trending Searches