Idaho Skin Institute LLC
NPI 1184375867 · Dermatology Physician · Chubbuck, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Idaho Skin Institute LLC is a Dermatology Physician organization in Chubbuck, ID (NPI 1184375867).
Provider details
- NPI number
- 1184375867
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Earl Stoddard, Owner(208) 238-7546
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 1344 Hiland Ave Ste DBurley, ID 83318-1564Phone: (208) 572-6005
- 1411 Falls Ave E Ste 1002Twin Falls, ID 83301-3459Phone: (208) 595-5424
Registry dates
- Enumerated
- 2022-01-13
- Last updated
- 2025-02-04
- Certified
- 2025-02-04
Frequently asked questions
- What is Idaho Skin Institute LLC's NPI number?
- Idaho Skin Institute LLC's National Provider Identifier (NPI) is 1184375867, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho Skin Institute LLC?
- Idaho Skin Institute LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Idaho Skin Institute LLC located?
- Idaho Skin Institute LLC's practice location on file with NPPES is 147 W Chubbuck Rd, Chubbuck, ID 83202-2314.
- What is Idaho Skin Institute LLC's phone number?
- The practice phone number listed in the NPPES registry for Idaho Skin Institute LLC is (208) 238-7546.
- Does Idaho Skin Institute LLC accept Medicare?
- Idaho Skin Institute LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Idaho Skin Institute LLC?
- The authorized official listed on Idaho Skin Institute LLC's NPPES record is Earl Stoddard, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho Skin Institute LLC's NPI active?
- Yes — Idaho Skin Institute LLC's NPI (1184375867) is active in the NPPES registry as of the last update on 2025-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.