P Praxis·MD
● Active Type 1 · Individual

DR. Gavin Ross Powell, MD

Dermatology·Nampa, ID· NPI 1215933940 · Enumerated 2005 · 20 years on NPI
Powell is 1 of 6 dermatology providers in Nampa and 1 of 102 in Idaho.
NPI age
20 years
Enumerated 2005-06-27
Primary specialty
Dermatology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-10-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 102 active dermatology providers in Idaho.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-06Enumerated in NPPES
2005 2026

Where they practice

Practice location
318 2nd St S
Nampa, ID 836513765
📞 2084673006fax 2084671155
Mailing address
318 2nd St S
Nampa, ID 836513765
📞 2084673006fax 2084671155

Specialties

  • Dermatology Primary
    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...
    ID license #M7519 taxonomy 207N00000X

Identifiers

TypeValueNotes
05 (ID) 805173400

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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