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ADA WEST DERMATOLOGY, PC
NPI 1518973338
Dermatology in Meridian, ID

Active since August 01, 2006CLIA Certified · 6 labs
1618 S MILLENIUM WAY STE 100, MERIDIAN, ID 83642(208) 884-3376(208) 884-0858 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 18, 2026, Jun 4, 2025, Nov 11, 2022 and 1 more (4 updates tracked since 2018).

About Ada West Dermatology, Pc NPPES

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

ADA WEST DERMATOLOGY, PC (NPI 1518973338) is a healthcare organization registered as a dermatology in Meridian, Idaho and active in the NPI registry since August 2006. The organization holds 6 active CLIA laboratory certificates and lists Colleen Jones, Cfo, as its authorized official.

NPPES Registry Identity

NPI1518973338
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADA WEST DERMATOLOGY, PC
Location Address1618 S MILLENIUM WAY STE 100Meridian, ID 83642-6457
Mailing Address1618 S. Millennium Way, Suite 100Meridian, ID 83642-6457 · (208) 884-3376 · Fax (208) 884-0858
Phone(208) 884-3376
Fax(208) 884-0858
Organization SubpartNo
Authorized OfficialColleen JonesCfo · (208) 884-3376
Enumeration DateAugust 1, 2006
Last NPPES UpdateMay 18, 20264 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1518973338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in ID · M5986
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.
1618 S MILLENIUM WAY STE 100, Meridian, ID 83642
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA 6

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 13D0895833

Ada West Dermatology · Meridian, ID
Active · expires Jan 3, 2028
CLIA Number13D0895833
Laboratory TypePhysician Office
Certificate Effective DateJanuary 4, 2026
Certificate Expiration DateJanuary 3, 2028
Laboratory DirectorDaniel Winchester
Laboratory Phone(208) 884-3376
Laboratory LocationAda West Dermatology1618 S Millennium Way Ste #200, Meridian, ID 83642
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 13D2178556

Ada West Dermatology · Meridian, ID
Active · expires Jan 8, 2027
CLIA Number13D2178556
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2025
Certificate Expiration DateJanuary 8, 2027
Laboratory DirectorGregory L. Wells
Laboratory Phone(208) 955-0804
Laboratory LocationAda West Dermatology1618 S Millennium Way Ste 100, Meridian, ID 83642
CLIA data matches this NPI record on: Address Name
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.

Certificate of Accreditation 13D2047540

Ada West Dermatopathology Lab · Meridian, ID
Active · expires Jan 19, 2028
CLIA Number13D2047540
Laboratory TypeHistology Lab
Certificate Effective DateJanuary 20, 2026
Certificate Expiration DateJanuary 19, 2028
Laboratory DirectorDr. Gregory Wells
Laboratory Phone(208) 991-5665
Laboratory LocationAda West Dermatopathology Lab1618 S Millennium Way #220, Meridian, ID 83642
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 13D2332626

Ada West Dermatology Dba Ada West Research LLC · Meridian, ID
Active · expires Oct 21, 2027
CLIA Number13D2332626
Laboratory TypeIndependent
Certificate Effective DateOctober 22, 2025
Certificate Expiration DateOctober 21, 2027
Laboratory DirectorMark Schwendiman
Laboratory Phone(208) 884-3376
Laboratory LocationAda West Dermatology Dba Ada West Research LLC4574 N Ten Mile Rd Ste 120, Meridian, ID 83646
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 13D2171439

Ada West Dermatology · Meridian, ID
Active · expires Mar 3, 2027
CLIA Number13D2171439
Laboratory TypePhysician Office
Certificate Effective DateMarch 4, 2025
Certificate Expiration DateMarch 3, 2027
Laboratory DirectorRyan B. Thorpe
Laboratory Phone(208) 884-3376
Laboratory LocationAda West Dermatology4574 N Ten Mile Rd Ste 110, Meridian, ID 83646
CLIA data matches this NPI record on: 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.

Certificate of Compliance 13D2267834

Ada West Dermatology-Barber Station · Boise, ID
Active · expires Nov 17, 2026
CLIA Number13D2267834
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2024
Certificate Expiration DateNovember 17, 2026
Laboratory DirectorPeter K. Boothman
Laboratory Phone(208) 884-3376
Laboratory LocationAda West Dermatology-Barber Station3100 E Barber Valley Dr, Boise, ID 83716
CLIA data matches this NPI record on: 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 20

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

MAURA JANE HOLCOMB M.D.
Dermatology
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 83642
Ada County (208) 884-3376
MR. ALEXANDER J ARHETS PA-C
Physician Assistant
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 83642
Ada County (208) 884-3376
MR. STEPHEN J FRELLY PA
Physician Assistant
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 83642
Ada County (208) 884-3376
ELIZABETH A SWANSON M.D.
Dermatology (Pediatric Dermatology)
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 83642
Ada County (208) 884-3376
KATHRYN MADDUX PA-C
Physician Assistant
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 83642
Ada County (208) 884-3376
MRS. RENEE M WILSON PA-C
Physician Assistant (Medical)
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 83642
Ada County (208) 884-3376
MS. TERESA GRAKLANOFF PA-C
Physician Assistant
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 83642
Ada County (208) 884-3376
DAVID JAMES BARCLAY II PA-C
Physician Assistant
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 83642
Ada County (208) 884-3376

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 Ada West Dermatology, PC's NPI number?

The NPI number for Ada West Dermatology, PC is 1518973338. It was assigned to this organization in the NPPES registry on August 1, 2006.

Where is Ada West Dermatology, PC located?

Ada West Dermatology, PC is located at 1618 S Millenium Way Ste 100, Meridian, ID 83642. The listed phone number is (208) 884-3376.

What is Ada West Dermatology, PC's specialty?

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

Does Ada West Dermatology, PC hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Ada West Dermatology, PC accept?

Health plans from Moda Health Plan, Inc. list Ada West Dermatology, 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 Ada West Dermatology, PC was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.