Active NPI
Soma, LLC
- Surgery Physician
- Clive, IA
National Provider Identifier
1962363960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SOMA, LLC
- Practice address
- 12107 Stratford Dr
Clive, IA 50325-8146 - Phone
- (515) 395-7661
- Fax
- (515) 395-7663
- NPI assigned
- Nov 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harry M Condoleon, DO
- Title
- Owner/Cosmetic Surgeon
- Phone
- (515) 320-0916
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
12107 Stratford Dr
Clive, IA 50325-8146
Mailing address
12107 Stratford Dr
Clive, IA 50325-8146
Phone (515) 395-7661
Other names 1
- SOMA Cosmetic Surgery & Aesthetics
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2320017 | Soma Cosmetic Surgery and Aesthetics | Certificate of waiver | Mar 10, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779840000000",
"number": "1962363960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12107 STRATFORD DR",
"city": "CLIVE",
"state": "IA",
"postal_code": "503258146",
"telephone_number": "515-395-7661",
"fax_number": "515-395-7663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12107 STRATFORD DR",
"city": "CLIVE",
"state": "IA",
"postal_code": "503258146",
"telephone_number": "515-395-7661",
"fax_number": "515-395-7663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOMA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-19",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A",
"authorized_official_last_name": "CONDOLEON",
"authorized_official_first_name": "HARRY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/COSMETIC SURGEON",
"authorized_official_telephone_number": "515-320-0916",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SOMA Cosmetic Surgery & Aesthetics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.