NPI age
19 years
Enumerated 2007-03-07
● Active Type 2 · Organization
Dermatology Center Of Canyon County
Dermatology Center Of Canyon County 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
Powell
President
Last NPPES update
2007-10-15
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
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
318 2nd St S
Nampa, ID 836513765
Mailing address
318 2nd St S
Nampa, ID 836513765
Authorized official
Gavin R Powell, M.D.
President
📞 2084673006
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Andrea Cortes Dobson, PA Physician Assistant NPI 1366952285
- Thea Heaton, PA-C Physician Assistant NPI 1811998628
- Seth Permann, PA-C Physician Assistant NPI 1508855974
- Gavin Powell, MD Dermatology NPI 1215933940
- Amanda Vander Woude Physician Assistant NPI 1437881059
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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Dermatology & Laser Center of Canyon County
Practice context
Multi-provider organization. 5 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 →
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