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ISSC FRUITLAND
NPI 1568112688
Dermatology in Fruitland, ID

Active since March 24, 2022CLIA 13D0996477 · Certificate of Compliance
975 NW 16TH ST., FRUITLAND, ID 83619(208) 452-7450(208) 452-7550 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Issc Fruitland NPPES

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

ISSC FRUITLAND (NPI 1568112688) is a healthcare organization registered as a dermatology in Fruitland, Idaho and active in the NPI registry since March 2022. The organization holds a CLIA Certificate of Compliance certificate valid through February 4, 2028 and lists Celia Ramos, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1568112688
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameISSC FRUITLAND
Location Address975 NW 16TH ST.Fruitland, ID 83619
Mailing Address975 Nw 16th St.Fruitland, ID 83619 · (208) 452-7450 · Fax (208) 452-7550
Phone(208) 452-7450
Fax(208) 452-7550
Organization SubpartYesParent: Idaho Skin Surgery Center, Pc
Authorized OfficialCelia RamosPractice Manager · (208) 452-7450
Enumeration DateMarch 24, 2022
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 3, 2025
✔ NPI 1568112688 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.
975 NW 16TH ST., Fruitland, ID 83619
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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

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 13D0996477

Issc Fruitland · Fruitland, ID
Active · expires Feb 4, 2028
CLIA Number13D0996477
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorJared Scott
Laboratory Phone(208) 452-7450
Laboratory LocationIssc Fruitland975 NW 16th St, Fruitland, ID 83619
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.

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 Issc Fruitland's NPI number?

The NPI number for Issc Fruitland is 1568112688. It was assigned to this organization in the NPPES registry on March 24, 2022.

Where is Issc Fruitland located?

Issc Fruitland is located at 975 NW 16th St., Fruitland, ID 83619. The listed phone number is (208) 452-7450.

What is Issc Fruitland's specialty?

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

Does Issc Fruitland hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 13D0996477) is associated with this NPI, valid through February 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Issc Fruitland accept?

Health plans from Moda Health Plan, Inc. list Issc Fruitland 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 Issc Fruitland was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.