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HIGH VALLEY DERMATOLOGY & DERMATOLOGIC SURGERY, PC
NPI 1255449898
Dermatology - MOHS-Micrographic Surgery in Idaho Falls, ID

Active since August 25, 2006
2375 E SUNNYSIDE RD STE J, IDAHO FALLS, ID 83404(208) 525-4888(208) 525-4885 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About High Valley Dermatology & Dermatologic Surgery, Pc NPPES

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

HIGH VALLEY DERMATOLOGY & DERMATOLOGIC SURGERY, PC (NPI 1255449898) is a healthcare organization registered as a mohs-micrographic surgery in Idaho Falls, Idaho and active in the NPI registry since August 2006. The organization lists James R Willis, President, as its authorized official.

NPPES Registry Identity

NPI1255449898
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameHIGH VALLEY DERMATOLOGY & DERMATOLOGIC SURGERY, PC
Location Address2375 E SUNNYSIDE RD STE JIdaho Falls, ID 83404-8281
Mailing Address2375 E Sunnyside Rd Ste JIdaho Falls, ID 83404-8281 · (208) 525-4888 · Fax (208) 525-4885
Phone(208) 525-4888
Fax(208) 525-4885
Organization SubpartNo
Authorized OfficialJames R WillisPresident · (208) 525-4888
Enumeration DateAugust 25, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1255449898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in ID · M7012
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
2375 E SUNNYSIDE RD STE J, Idaho Falls, ID 83404
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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 5

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

S. ALBERTSON DERMATOLOGY AND SKIN CANCER CENTER LLC
Dermatology (MOHS-Micrographic Surgery)
2375 E SUNNYSIDE RD STE J
IDAHO FALLS, ID 83404
Bonneville County (208) 589-3918
MATTHEW R NELSON PA C
Physician Assistant
2375 E SUNNYSIDE RD STE J
IDAHO FALLS, ID 83404
Bonneville County (208) 522-7246
JARED WILLIAM RICKABAUGH APRN, FNP-C
Nurse Practitioner (Family)
2375 E SUNNYSIDE RD STE J
IDAHO FALLS, ID 83404
Bonneville County (208) 542-7060
MANUAL SOLUTIONS PLLC
Physical Therapist
2375 E SUNNYSIDE RD STE J
IDAHO FALLS, ID 83404
Bonneville County (208) 206-4633
PAIN SPECIALISTS OF IDAHO
Anesthesiology (Pain Medicine)
2375 E SUNNYSIDE RD STE J
IDAHO FALLS, ID 83404
Bonneville County (208) 522-7246

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 High Valley Dermatology & Dermatologic Surgery, PC's NPI number?

The NPI number for High Valley Dermatology & Dermatologic Surgery, PC is 1255449898. It was assigned to this organization in the NPPES registry on August 25, 2006.

Where is High Valley Dermatology & Dermatologic Surgery, PC located?

High Valley Dermatology & Dermatologic Surgery, PC is located at 2375 E Sunnyside Rd Ste J, Idaho Falls, ID 83404. The listed phone number is (208) 525-4888.

What is High Valley Dermatology & Dermatologic Surgery, PC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

When was this NPI record last updated?

The NPPES record for High Valley Dermatology & Dermatologic Surgery, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.