NPI age
18 years
Enumerated 2008-04-11
● Active Type 2 · Organization
Idaho Skin Surgery Center, Pc
Idaho Skin Surgery Center, Pc is 1 of 102 dermatology organizations in Idaho.
Primary specialty
Dermatology
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Scott
President
Last NPPES update
2014-12-12
Source: monthly bulk 2026-05
How this organization compares
Across 102 active dermatology providers in Idaho.
NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 37% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-04Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
1906 S Vista Ave
Boise, ID 837053453
Mailing address
1906 S Vista Ave
Boise, ID 837053453
Authorized official
Jared Scott, MD
President
📞 2084331114
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Logan Hawker, PA Physician Assistant NPI 1457133977
- Jared Scott, MD Dermatology NPI 1992808893
- Katelyn Wade, PA, RD Physician Assistant NPI 1780178814
- Jessie Zimmerman, PA-C Physician Assistant NPI 1164851168
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...
-
DermatologyThe 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...
-
DermatologyProcedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery,...
Practice context
Multi-provider organization. 4 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 →
- 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.