GEM STATE DERMATOLOGY, PA
NPI 1912040270
Dermatology in Boise, ID

Active since February 15, 2007
388 E. PARKCENTER BLVD., BOISE, ID 83706(208) 424-9101(208) 424-5072 Get Directions Write a Review

NPPES record last updated: December 2, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gem State Dermatology, Pa NPPES

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

GEM STATE DERMATOLOGY, PA (NPI 1912040270) is a healthcare organization registered as a dermatology in Boise, Idaho and active in the NPI registry since February 2007. The organization lists Michelle Morgan, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1912040270
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameGEM STATE DERMATOLOGY, PA
Location Address388 E. PARKCENTER BLVD.Boise, ID 83706
Mailing AddressPo Box 1603Boise, ID 83702-1603 · (208) 424-9101 · Fax (208) 424-5072
Fax(208) 424-5072
Organization SubpartNo
Authorized OfficialMichelle MorganPractice Manager · (208) 424-9101
Enumeration DateFebruary 15, 2007
Last NPPES UpdateDecember 2, 2014
NPI 1912040270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in ID · M7247
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.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X · License M7247 (ID)
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA377 (ID)
388 E. PARKCENTER BLVD., Boise, ID 83706

Other Identifiers 3

Medicare ID-Type Unspecified1375651ID
Medicaid805054600ID
Medicare UPING56246ID

Accepted Insurance

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.

Dermatology
388 E. PARKCENTER BLVD.
BOISE, ID 83706
Physician Assistant
388 E. PARKCENTER BLVD.
BOISE, ID 83706

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 Gem State Dermatology, PA's NPI number?

The NPI number for Gem State Dermatology, PA is 1912040270. It was assigned to this organization in the NPPES registry on February 15, 2007.

Where is Gem State Dermatology, PA located?

Gem State Dermatology, PA is located at 388 E. Parkcenter Blvd., Boise, ID 83706. The listed phone number is (208) 424-9101.

What is Gem State Dermatology, PA's specialty?

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

What insurance does Gem State Dermatology, PA accept?

Health plans from Moda Health Plan, Inc. list Gem State Dermatology, PA 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 Gem State Dermatology, PA was last updated on December 2, 2014. 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.