NPI age
18 years
Enumerated 2007-07-03
● Active Type 2 · Organization
Idaho Dermatologic Surgery & Laser Center PA
Idaho Dermatologic Surgery & Laser Center PA is 1 of 14 dermatology organizations in Idaho.
Primary specialty
Dermatology
Plus 3 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cottingham
Owner
Last NPPES update
2024-02-23
Source: monthly bulk 2026-05
How this organization compares
Across 14 active dermatology providers in Idaho.
NPI age
18 years
↑ 1 yr above median
Practice locations
1
0 secondary on file
Subspecialties
3
In the 28% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-07Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1488 N Knights Dr
Boise, ID 837126557
Mailing address
967 E Parkcenter Blvd # 142
Boise, ID 837066721
Authorized official
Teri J Cottingham, M.D.
Owner
📞 2088692869
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...
-
Clinic/CenterAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or...
-
DermatologyA 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...
-
DermatologyProcedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1139318 | PTAN |
| 05 (ID) | 805151100 |
Practice context
Single-site organization. Only one practice location on file.
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