NPI age
4 years
Enumerated 2022-01-13
● Active Type 2 · Organization
Idaho Skin Institute Llc
Idaho Skin Institute Llc is 1 of 102 dermatology organizations in Idaho.
Primary specialty
Dermatology
Practice locations
3
2 secondary on file
Status
Active
No deactivations on record
Authorized official
Stoddard
Owner
Last NPPES update
2025-02-04
Source: monthly bulk 2026-05
How this organization compares
Across 102 active dermatology providers in Idaho.
NPI age
4 years
↓ 14 yr below median
Practice locations
3
2 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-01Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
147 W Chubbuck Rd
Chubbuck, ID 832022314
Mailing address
147 W Chubbuck Rd
Chubbuck, ID 832022314
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
1344 Hiland Ave Ste D
Burley, ID 833181564
Location 3
1411 Falls Ave E Ste 1002
Twin Falls, ID 833013459
Authorized official
Earl Stoddard, MD
Owner
📞 2082387546
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Trevor Batty, D.O. Dermatology NPI 1558756106
- Leslie Burnside, PA-C Physician Assistant NPI 1760451454
- Ryan McCulloch, PA Physician Assistant NPI 1720195530
- Amy McKinlay, PA-C Physician Assistant NPI 1992716674
- Earl Stoddard, M.D. Dermatology NPI 1760400238
Specialties
-
Dermatology PrimaryA 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...
Practice context
Multi-provider organization. 5 individual providers on file at this primary address. Plus 2 secondary practice locations.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.