P Praxis·MD
● Active Type 2 · Organization

Jan Deblieck MD PA

Dermatology·Boise, ID· NPI 1497960983 · Enumerated 2007 · 19 years on NPI
Jan Deblieck MD PA is 1 of 102 dermatology organizations in Idaho.
NPI age
19 years
Enumerated 2007-05-10
Primary specialty
Dermatology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Deblieck
Physician-Owner
Last NPPES update
2007-07-17
Source: monthly bulk 2026-05

How this organization compares

Across 102 active dermatology providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
13176 W Persimmon Ln
Boise, ID 837131986
📞 2089395030fax 2089391892
Mailing address
13176 W Persimmon Ln
Boise, ID 837131986
📞 2089395030fax 2089391892

Authorized official

Jennifer Deblieck, M.D.
Physician-Owner
📞 2089395030

Individual providers at this organization

5 individual providers on file at this primary practice address.

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 #M7045 taxonomy 207N00000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • DeBlieck Dermatology
    Type code 3 recorded 2007-05-10

Practice context

Multi-provider organization. 5 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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