Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Idaho Skin Surgery Center, PC

Organization Dermatology Physician · NPI 1295908127

Idaho Skin Surgery Center, PC provides Dermatology Physician services in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1906 S Vista Ave
Boise, ID 83705-3453 Not confirmed with CMS for 11 years — call before visiting
Phone: (208) 433-1114
Fax: (208) 433-1115
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence M-10116 (ID)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence M-10116 (ID)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence M-10116 (ID)

Record details

NPI number1295908127
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jared Scott — President · (208) 433-1114
NPI enumeratedApril 11, 2008
Last updated in NPPESDecember 12, 2014
Mailing address1906 S Vista Ave, Boise, ID 83705-3453

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