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Idaho Skin Surgery Center, PC

Dermatology Physician in Boise, ID · enumerated 2008 · authorized official Jared Scott, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1295908127

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Registry record

Entity type Organization (Type 2)
Legal business name Idaho Skin Surgery Center, PC
Practice address 1906 S Vista Ave, Boise, ID, 83705
Phone (208) 433-1114
Fax (208) 433-1115
Enumeration date Apr 11, 2008
Last updated in NPPES Dec 12, 2014

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License M-10116 (ID) Primary
207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians · License M-10116 (ID) Secondary
207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians · License M-10116 (ID) Secondary

Authorized official

Name Jared Scott
Title President
Phone (208) 433-1114

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Idaho Skin Surgery Center, PC?
Idaho Skin Surgery Center, PC is registered in NPPES as a Dermatology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-12-12.