NPI age
19 years
Enumerated 2007-02-15
● Active Type 2 · Organization
Gem State Dermatology, PA
Gem State Dermatology, PA is 1 of 102 dermatology organizations in Idaho.
Primary specialty
Dermatology
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Morgan
Practice Manager
Last NPPES update
2014-12-02
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
2
In the 37% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
388 E. Parkcenter Blvd.
Boise, ID 83706
Mailing address
Po Box 1603
Boise, ID 837021603
Authorized official
Michelle Morgan
Practice Manager
📞 2084249101
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Michael Lane, PA-C Physician Assistant NPI 1669415188
- Steven Mings, MD Dermatology NPI 1548214265
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...
-
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...
-
Physician AssistantA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 805054600 |
Practice context
Multi-provider organization. 2 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 →
- 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.