NPI age
2 years
Enumerated 2023-11-20
● Active Type 2 · Organization
Slate Medical Aesthetics Pllc
Slate Medical Aesthetics Pllc is 1 of 102 dermatology organizations in Idaho.
Primary specialty
Dermatology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Monroe
Owner
Last NPPES update
2023-11-20
Source: monthly bulk 2026-05
How this organization compares
Across 102 active dermatology providers in Idaho.
NPI age
2 years
↓ 16 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-11Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
920 Deon Dr Ste A
Pocatello, ID 832013069
Mailing address
920 Deon Dr Ste A
Pocatello, ID 832013069
Authorized official
Jeremy R Monroe, DO
Owner
📞 2089040217
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Corwin West, LMT Massage Therapist NPI 1336779214
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. 1 individual provider 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.