P Praxis·MD
● Active Type 1 · Individual

MRS. Jhon R Hall, MD

Dermatology·Boise, ID· NPI 1225107386 · Enumerated 2006 · 19 years on NPI
Hall is 1 of 23 dermatology providers in Boise and 1 of 102 in Idaho.
NPI age
19 years
Enumerated 2006-11-06
Primary specialty
Dermatology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 102 active dermatology providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Practice location
13176 W Persimmon Lane
Boise, ID 83713
📞 2089398640fax 2089391892
Mailing address
13176 W Persimmon Lane
Boise, ID 83713
📞 2089398640fax 2089391892

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 #M5446 taxonomy 207N00000X

Identifiers

TypeValueNotes
01 23812 BLUE SHIELD
01 82800 BLUE CROSS

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new dermatology provider has been added in Boise in the last 180 days. See all →
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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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