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Gem State Dermatology, PA

Dermatology Physician in Boise, ID · enumerated 2007 · authorized official Michelle Morgan, Practice Manager.

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

National Provider Identifier

1912040270

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Registry record

Entity type Organization (Type 2)
Legal business name Gem State Dermatology, PA
Practice address 388 E. Parkcenter Blvd., Boise, ID, 83706
Phone (208) 424-9101
Fax (208) 424-5072
Enumeration date Feb 15, 2007
Last updated in NPPES Dec 2, 2014

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License M7247 (ID) Primary
261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities · License M7247 (ID) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA377 (ID) Secondary

Authorized official

Name Michelle Morgan
Title Practice Manager
Phone (208) 424-9101

Other identifiers

Identifier Type State Issuer
805054600 Medicaid ID -

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 is the NPI number for Gem State Dermatology, PA?
The NPI for Gem State Dermatology, PA is 1912040270, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Gem State Dermatology, PA?
NPPES lists Michelle Morgan (Practice Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-12-02.