NPI age
19 years
Enumerated 2006-08-25
● Active Type 2 · Organization
High Valley Dermatology & Dermatologic Surgery, Pc
High Valley Dermatology & Dermatologic Surgery, Pc is 1 of 14 dermatology organizations in Idaho.
Primary specialty
Dermatology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Willis
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 14 active dermatology providers in Idaho.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2375 E Sunnyside Rd Ste J
Idaho Falls, ID 834048281
Mailing address
2375 E Sunnyside Rd Ste J
Idaho Falls, ID 834048281
Authorized official
James R Willis, M.D.
President
📞 2085254888
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Matthew Nelson, PA C Physician Assistant NPI 1649221912
- Jared Rickabaugh, APRN, FNP-C Nurse Practitioner NPI 1649753740
Specialties
-
Dermatology PrimaryThe highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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