IDAHO SKIN SURGERY CENTER, PC
NPI 1295908127
Dermatology in Boise, ID

Active since April 11, 2008CLIA 13D1084633 · Certificate of Compliance
1906 S VISTA AVE, BOISE, ID 83705(208) 433-1114(208) 433-1115 Get Directions Write a Review

NPPES record last updated: December 12, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Idaho Skin Surgery Center, Pc NPPES

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

IDAHO SKIN SURGERY CENTER, PC (NPI 1295908127) is a healthcare organization registered as a dermatology in Boise, Idaho and active in the NPI registry since April 2008. The organization holds a CLIA Certificate of Compliance certificate valid through June 1, 2027 and lists Jared Scott, President, as its authorized official.

NPPES Registry Identity

NPI1295908127
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameIDAHO SKIN SURGERY CENTER, PC
Location Address1906 S VISTA AVEBoise, ID 83705-3453
Mailing Address1906 S Vista AveBoise, ID 83705-3453 · (208) 433-1114 · Fax (208) 433-1115
Fax(208) 433-1115
Organization SubpartNo
Authorized OfficialJared ScottPresident · (208) 433-1114
Enumeration DateApril 11, 2008
Last NPPES UpdateDecember 12, 2014
NPI 1295908127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in ID · M-10116
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.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License M-10116 (ID)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License M-10116 (ID)
1906 S VISTA AVE, Boise, ID 83705

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 of Compliance 13D1084633

Idaho Skin Surgery Center · Boise, ID
Active · expires Jun 1, 2027
CLIA Number13D1084633
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorJared M. Scott
Laboratory Phone(208) 433-1114
Laboratory LocationIdaho Skin Surgery Center1906 S Vista Ave, Boise, ID 83705
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

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

Physician Assistant (Medical)
1906 S VISTA AVE
BOISE, ID 83705
Physician Assistant (Medical)
1906 S VISTA AVE
BOISE, ID 83705
Physician Assistant
1906 S VISTA AVE
BOISE, ID 83705
Dermatology
1906 S VISTA AVE
BOISE, ID 83705

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 Idaho Skin Surgery Center, PC's NPI number?

The NPI number for Idaho Skin Surgery Center, PC is 1295908127. It was assigned to this organization in the NPPES registry on April 11, 2008.

Where is Idaho Skin Surgery Center, PC located?

Idaho Skin Surgery Center, PC is located at 1906 S Vista Ave, Boise, ID 83705. The listed phone number is (208) 433-1114.

What is Idaho Skin Surgery Center, PC's specialty?

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

Does Idaho Skin Surgery Center, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 13D1084633) is associated with this NPI, valid through June 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Idaho Skin Surgery Center, PC accept?

Health plans from Moda Health Plan, Inc. list Idaho Skin Surgery Center, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Idaho Skin Surgery Center, PC was last updated on December 12, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.