CT DERM PC
NPI 1902843485
Dermatology in Fruitland, ID

Active since June 01, 2006
811 NW 12TH ST, FRUITLAND, ID 83619(208) 452-7450 Get Directions Write a Review

NPPES record last updated: March 27, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ct Derm Pc NPPES

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

CT DERM PC (NPI 1902843485) is a healthcare organization registered as a dermatology in Fruitland, Idaho and active in the NPI registry since June 2006. The organization lists Carl R Thornfeldt, Owner, as its authorized official.

NPPES Registry Identity

NPI1902843485
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCT DERM PC
Location Address811 NW 12TH STFruitland, ID 83619-2268
Mailing Address811 Nw 12th StFruitland, ID 83619-2268 · (208) 452-7450
Organization SubpartNo
Authorized OfficialCarl R ThornfeldtOwner · (208) 452-7450
Enumeration DateJune 1, 2006
Last NPPES UpdateMarch 27, 2015
NPI 1902843485 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.
811 NW 12TH ST, Fruitland, ID 83619

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

Other Providers at the Same Location NPPES 4

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

Dermatology
811 NW 12TH ST
FRUITLAND, ID 83619
Nurse Practitioner
811 NW 12TH ST
FRUITLAND, ID 83619
Nurse Practitioner (Family)
811 NW 12TH ST
FRUITLAND, ID 83619
Nurse Practitioner (Family)
811 NW 12TH ST
FRUITLAND, ID 83619

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 Ct Derm PC's NPI number?

The NPI number for Ct Derm PC is 1902843485. It was assigned to this organization in the NPPES registry on June 1, 2006.

Where is Ct Derm PC located?

Ct Derm PC is located at 811 NW 12th St, Fruitland, ID 83619. The listed phone number is (208) 452-7450.

What is Ct Derm PC's specialty?

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

What insurance does Ct Derm PC accept?

Health plans from Moda Health Plan, Inc. list Ct Derm 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 Ct Derm PC was last updated on March 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.