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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUMMIT DERMCARE, PLLC
NPI 1043178650
Physician Assistant in Pocatello, ID

Active since January 13, 2026
707 N 12TH AVE, POCATELLO, ID 83201(208) 228-5600(949) 909-2202 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 9, 2026, Jan 13, 2026 (2 updates tracked since 2026).

About Summit Dermcare, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMIT DERMCARE, PLLC (NPI 1043178650) is a healthcare organization registered as a physician assistant in Pocatello, Idaho and active in the NPI registry since January 2026. The organization lists Travis Gilbert, Owner, as its authorized official.

NPPES Registry Identity

NPI1043178650
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameSUMMIT DERMCARE, PLLC
Location Address707 N 12TH AVEPocatello, ID 83201-4742
Mailing Address707 N 12th AvePocatello, ID 83201-4742 · (208) 228-5600 · Fax (949) 909-2202
Phone(208) 228-5600
Fax(949) 909-2202
Organization SubpartNo
Authorized OfficialTravis GilbertOwner · (208) 228-5600
Enumeration DateJanuary 13, 2026
Last NPPES UpdateSeptember 9, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1043178650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
707 N 12TH AVE, Pocatello, ID 83201
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRAFT PHARMACY AND CLINIC, LLC
Pharmacy (Community/Retail Pharmacy)
707 N 12TH AVE
POCATELLO, ID 83201
Bannock County (208) 705-7812
TRAVIS GILBERT PA-C
Physician Assistant
707 N 12TH AVE
POCATELLO, ID 83201
Bannock County (208) 228-5600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summit Dermcare, PLLC's NPI number?

The NPI number for Summit Dermcare, PLLC is 1043178650. It was assigned to this organization in the NPPES registry on January 13, 2026.

Where is Summit Dermcare, PLLC located?

Summit Dermcare, PLLC is located at 707 N 12th Ave, Pocatello, ID 83201. The listed phone number is (208) 228-5600.

What is Summit Dermcare, PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Summit Dermcare, PLLC was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.