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INTEGRATED DERMATOLOGY OF BOISE, LLC
NPI 1528704863
Dermatology in Meridian, ID

Active since May 10, 2022
3277 E LOUISE DR STE 360, MERIDIAN, ID 83642(208) 900-3376(986) 210-1370 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 5, 2022, May 10, 2022 (2 updates tracked since 2022).

About Integrated Dermatology Of Boise, Llc NPPES

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

INTEGRATED DERMATOLOGY OF BOISE, LLC (NPI 1528704863) is a healthcare organization registered as a dermatology in Meridian, Idaho and active in the NPI registry since May 2022. The organization lists Mary Ellen J Luchetti, Authorized Group Official, as its authorized official.

NPPES Registry Identity

NPI1528704863
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameINTEGRATED DERMATOLOGY OF BOISE, LLC
Location Address3277 E LOUISE DR STE 360Meridian, ID 83642-9359
Mailing Address4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450 · (561) 314-2000
Phone(208) 900-3376
Fax(986) 210-1370
Organization SubpartNo
Authorized OfficialMary Ellen J LuchettiAuthorized Group Official · (208) 900-3376
Enumeration DateMay 10, 2022
Last NPPES UpdateDecember 5, 20222 updates tracked since enumeration
NPPES CertifiedDecember 5, 2022
✔ NPI 1528704863 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.
3277 E LOUISE DR STE 360, Meridian, ID 83642
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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

Other Providers at the Same Location NPPES 2

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

DR. MARK MACUMBER MD
Phlebology
3277 E LOUISE DR STE 360
MERIDIAN, ID 83642
Ada County (208) 600-1550
SUPERIOR VEIN CARE, PLLP
Surgery (Vascular Surgery)
3277 E LOUISE DR STE 360
MERIDIAN, ID 83642
Ada County (208) 600-1550

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 Boise, LLC's NPI number?

The NPI number for Integrated Dermatology Of Boise, LLC is 1528704863. It was assigned to this organization in the NPPES registry on May 10, 2022.

Where is Integrated Dermatology Of Boise, LLC located?

Integrated Dermatology Of Boise, LLC is located at 3277 E Louise Dr Ste 360, Meridian, ID 83642. The listed phone number is (208) 900-3376.

What is Integrated Dermatology Of Boise, 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 Boise, LLC was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.