OrganizationActive
Dermatology, PC
NPI 1790736353 · MOHS-Micrographic Surgery Physician · West Des Moines, IA
Provider details
- NPI number
- 1790736353
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roger Ceilley, President(515) 241-2000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6000 University Ave
Suite 450
West Des Moines, IA 50266-8203
Phone: (515) 241-2000
Fax: (515) 241-2005
Street-level locationGet directions
Mailing address
6000 University Ave
West Des Moines, IA 50266-8203
Registry dates
- Enumerated
- 2006-05-16
- Last updated
- 2025-08-01
- Certified
- 2025-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.