NPI age
4 years
Enumerated 2022-05-10
● Active Type 2 · Organization
Integrated Dermatology Of Boise, Llc
Integrated Dermatology Of Boise, Llc 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
Luchetti
Authorized Group Official
Last NPPES update
2022-12-05
Source: monthly bulk 2026-05
How this organization compares
Across 102 active dermatology providers in Idaho.
NPI age
4 years
↓ 14 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-05Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
3277 E Louise Dr Ste 360
Meridian, ID 836429359
Mailing address
4700 Exchange Ct Ste 110
Boca Raton, FL 334314450
Authorized official
Mary Ellen J Luchetti, MD
Authorized Group Official
📞 2089003376
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Mark MacUmber, MD Phlebology NPI 1598805830
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.
Provyx · Custom healthcare lists
Need all 102 Dermatology providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- 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.