P Praxis·MD
● Active Type 1 · Individual

Earl Stoddard, M.D.

Dermatology·Chubbuck, ID· NPI 1760400238 · Enumerated 2006 · 19 years on NPI
Stoddard is 1 of 1 dermatology providers in Chubbuck and 1 of 14 in Idaho.
NPI age
19 years
Enumerated 2006-07-17
Primary specialty
Dermatology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-08-18
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
19 years
↑ 2 yr above median (16 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
28% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
147 W Chubbuck Rd
Chubbuck, ID 832022314
📞 2082387546fax 2082379643
Mailing address
147 W Chubbuck Rd
Chubbuck, ID 832022314
📞 2082387546fax 2082379643

Specialties

  • Dermatology Primary
    The 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...
    ID license #M9280 taxonomy 207ND0101X

Identifiers

TypeValueNotes
05 (ID) 807206400
01 (ID) P00239843 RAILRAOD MEDICARE PTAN

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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