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GEM STATE DERMATOLOGY
NPI 1508345091
Dermatology in Boise, ID

Active since August 07, 2018
388 E PARKCENTER BLVD, BOISE, ID 83706(208) 424-9101(208) 424-5072 Get Directions Write a Review

NPPES record last updated: August 7, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Gem State Dermatology NPPES

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

GEM STATE DERMATOLOGY (NPI 1508345091) is a healthcare organization registered as a dermatology in Boise, Idaho and active in the NPI registry since August 2018. The organization lists Jeffrey Queen, Owner, as its authorized official.

NPPES Registry Identity

NPI1508345091
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameINTEGRATED DERMATOLOGY OF IDAHO LLC
Location Address388 E PARKCENTER BLVDBoise, ID 83706-3942
Mailing Address4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450 · (561) 314-2000
Phone(208) 424-9101
Fax(208) 424-5072
Organization SubpartNo
Authorized OfficialJeffrey QueenOwner · (561) 314-2000
Enumeration DateAugust 7, 2018
✔ NPI 1508345091 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.
388 E PARKCENTER BLVD, Boise, ID 83706
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Other Names 1

Doing Business AsGem State Dermatology

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

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

KATHERINE LINDSEY ANN LEDFORD PA
Physician Assistant
388 E PARKCENTER BLVD
BOISE, ID 83706
Ada County (208) 424-9101

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 Integrated Dermatology Of Idaho LLC's NPI number?

The NPI number for Integrated Dermatology Of Idaho LLC is 1508345091. It was assigned to this organization in the NPPES registry on August 7, 2018. The provider is doing business as Gem State Dermatology.

Where is Integrated Dermatology Of Idaho LLC located?

Integrated Dermatology Of Idaho LLC is located at 388 E Parkcenter Blvd, Boise, ID 83706. The listed phone number is (208) 424-9101.

What is Integrated Dermatology Of Idaho LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Integrated Dermatology Of Idaho LLC was last updated on August 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.