Organization Active NPI

Soma, LLC

  • Surgery Physician
  • Clive, IA
National Provider Identifier
1962363960
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on May 27, 2026

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2320017Soma Cosmetic Surgery and Aesthetics12107 Stratford Dr, Clive, IA 50325Certificate of waiverMar 10, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.