NPI age
10 years
Enumerated 2016-04-20
● Active
Type 1 · Individual
Peter Boothman, M.D.
Boothman is 1 of 3 dermatology providers in Meridian and 1 of 14 in Idaho.
Primary specialty
Dermatology
Plus 1 subspecialty
Licensed in
ID, AL
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-06-04
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 14 active dermatology providers in Idaho.
NPI age
10 years
↓ 6 yr below median (16 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
28% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-04Enumerated in NPPES
2016
2026
Where they practice
Practice location
1618 S Millenium Way Ste 100
Meridian, ID 836426457
Mailing address
1618 S Millenium Way Ste 100
Meridian, ID 836426457
Specialties
-
Dermatology PrimaryThe highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased...
Practice context
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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