NPI age
4 years
Enumerated 2022-03-24
● Active Type 2 · Organization
Subpart
Issc Fruitland
Issc Fruitland 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
Ramos
Practice Manager
Last NPPES update
2025-07-16
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
2022-03Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
975 Nw 16th St.
Fruitland, ID 83619
Mailing address
975 Nw 16th St.
Fruitland, ID 83619
Authorized official
Celia Ramos
Practice Manager
📞 2084527450
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
Single-site organization. Only one practice location on file.
Subpart of Idaho Skin Surgery Center, Pc.
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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.