IDAHO SKIN INSTITUTE LLC
NPI 1184375867
Dermatology in Chubbuck, ID

Q: What is Idaho Skin Institute LLC's NPI number?

The NPI number for Idaho Skin Institute LLC is 1184375867. It was assigned to this organization in the NPPES registry on January 13, 2022.

Q: What is Idaho Skin Institute LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since January 13, 2022CLIA 13D2170865 · Microscopy

147 W CHUBBUCK RD, CHUBBUCK, ID 83202(208) 238-7546(208) 237-9643 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2025, Nov 14, 2024, Jan 13, 2022 (3 updates tracked since 2022).

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About Idaho Skin Institute Llc NPPES

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

IDAHO SKIN INSTITUTE LLC (NPI 1184375867) is a healthcare organization registered as a dermatology in Chubbuck, Idaho and active in the NPI registry since January 2022. The organization holds a CLIA Microscopy certificate valid through August 20, 2027, maintains 2 additional practice locations, and lists Earl Stoddard, Owner, as its authorized official.

NPPES Registry Identity

NPI1184375867

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameIDAHO SKIN INSTITUTE LLC

Location Address147 W CHUBBUCK RDChubbuck, ID 83202-2314

Mailing Address147 W Chubbuck RdChubbuck, ID 83202-2314 · (208) 238-7546 · Fax (208) 237-9643

Phone(208) 238-7546

Fax(208) 237-9643

Organization SubpartNo

Authorized OfficialEarl StoddardOwner · (208) 238-7546

Enumeration DateJanuary 13, 2022

Last NPPES UpdateFebruary 4, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2025

✔ NPI 1184375867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

147 W CHUBBUCK RD, Chubbuck, ID 83202

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Secondary Practice Locations 2

Location 11344 Hiland Ave Ste DBurley, ID 83318-1564 · Phone (208) 572-6005

Location 21411 Falls Ave E Ste 1002Twin Falls, ID 83301-3459 · Phone (208) 595-5424

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 13D2170865

Idaho Skin Institute Of Burley · Burley, ID

Active · expires Aug 20, 2027

CLIA Number13D2170865

Laboratory TypePhysician Office

Certificate Effective DateAugust 21, 2025

Certificate Expiration DateAugust 20, 2027

Laboratory DirectorTrevor Batty

Laboratory Phone(208) 572-6005

Laboratory LocationIdaho Skin Institute Of Burley1344 Hiland Ave Ste D, Burley, ID 83318

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

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

TREVOR BATTY D.O.

Dermatology