GEM STATE DERMATOLOGY
NPI 1508345091
Dermatology in Boise, ID
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 holds a CLIA Certificate of Compliance certificate valid through May 3, 2028 and lists Jeffrey Queen, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
Other Names 1
Group Practice 1
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 13D0935092
Gem State Dermatology · Boise, IDOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Does Integrated Dermatology Of Idaho LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 13D0935092) is associated with this NPI, valid through May 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
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 with the weekly NPPES data releases published by CMS.
