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BOISE DERMAESTHETICS, LLC
NPI 1639117153
Family Medicine in Boise, ID

Active since June 04, 2006
6126 W EMERALD ST, BOISE, ID 83704(208) 323-6525 Get Directions Write a Review

NPPES record last updated: September 12, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Boise Dermaesthetics, Llc NPPES

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

BOISE DERMAESTHETICS, LLC (NPI 1639117153), doing business as Mcconnehey Family Medicine, is a healthcare organization registered as a family medicine in Boise, Idaho and active in the NPI registry since June 2006. The organization lists Cheryl D Lundy, Billing Manger, as its authorized official.

NPPES Registry Identity

NPI1639117153
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBOISE DERMAESTHETICS, LLC
Location Address6126 W EMERALD STBoise, ID 83704-8857
Mailing Address6126 W Emerald StBoise, ID 83704-8857 · (208) 323-6525
Phone(208) 323-6525
Organization SubpartNo
Authorized OfficialCheryl D LundyBilling Manger · (208) 452-6794
Enumeration DateJune 4, 2006
Last NPPES UpdateSeptember 12, 2007
✔ NPI 1639117153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6126 W EMERALD ST, Boise, ID 83704
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Other Names 1

Former Legal Business NameMcconnehey Family Medicine

Other Identifiers 1

Medicare ID-Type Unspecified1504891

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

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 Boise Dermaesthetics, LLC's NPI number?

The NPI number for Boise Dermaesthetics, LLC is 1639117153. It was assigned to this organization in the NPPES registry on June 4, 2006. The provider was formerly known as Mcconnehey Family Medicine.

Where is Boise Dermaesthetics, LLC located?

Boise Dermaesthetics, LLC is located at 6126 W Emerald St, Boise, ID 83704. The listed phone number is (208) 323-6525.

What is Boise Dermaesthetics, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Boise Dermaesthetics, LLC was last updated on September 12, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.