IDAHO SKIN INSTITUTE, INC.
NPI 1972745594
Dermatology in Chubbuck, ID

Active since March 27, 2009
147 W CHUBBUCK RD, CHUBBUCK, ID 83202(208) 238-7546(208) 237-9643 Get Directions Write a Review

NPPES record last updated: April 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Idaho Skin Institute, Inc. NPPES

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

IDAHO SKIN INSTITUTE, INC. (NPI 1972745594) is a healthcare organization registered as a dermatology in Chubbuck, Idaho and active in the NPI registry since March 2009. The organization lists Earl R Stoddard, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1972745594
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSTODDARD MEDICAL, INC
Location Address147 W CHUBBUCK RDChubbuck, ID 83202-2314
Mailing Address147 W Chubbuck RdChubbuck, ID 83202-2314 · (208) 238-7546 · Fax (208) 237-9643
Fax(208) 237-9643
Organization SubpartNo
Authorized OfficialEarl R StoddardOwner/physician · (208) 238-7546
Enumeration DateMarch 27, 2009
Last NPPES UpdateApril 4, 2012
NPI 1972745594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in ID · M9280
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.
147 W CHUBBUCK RD, Chubbuck, ID 83202

Other Names 1

Doing Business AsIdaho Skin Institute, Inc.

Other Identifiers 1

Other11311121ID · Medicare Ptan

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Dermatology
147 W CHUBBUCK RD
CHUBBUCK, ID 83202
Dermatology
147 W CHUBBUCK RD
CHUBBUCK, ID 83202
Physician Assistant
147 W CHUBBUCK RD
CHUBBUCK, ID 83202
Dermatology (MOHS-Micrographic Surgery)
147 W CHUBBUCK RD
CHUBBUCK, ID 83202
Physician Assistant
147 W CHUBBUCK RD
CHUBBUCK, ID 83202
Physician Assistant
147 W CHUBBUCK RD
CHUBBUCK, ID 83202

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 Stoddard Medical, Inc's NPI number?

The NPI number for Stoddard Medical, Inc is 1972745594. It was assigned to this organization in the NPPES registry on March 27, 2009. The provider is doing business as Idaho Skin Institute, Inc..

Where is Stoddard Medical, Inc located?

Stoddard Medical, Inc is located at 147 W Chubbuck Rd, Chubbuck, ID 83202. The listed phone number is (208) 238-7546.

What is Stoddard Medical, Inc's specialty?

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

What insurance does Stoddard Medical, Inc accept?

Health plans from Moda Health Plan, Inc. list Stoddard Medical, Inc 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 Stoddard Medical, Inc was last updated on April 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.