A fast, free, no-login way to look up any U.S. healthcare provider in the federal NPPES registry.

Lookups

NPI Lookup
NPI Registry
By Specialty
By State

Resources

Guides
For Providers / API
Data Sources
About

Legal

Privacy
Terms
Correct a record

Data is sourced from the public NPPES (National Plan and Provider Enumeration System) registry published by CMS. NPI Central is not affiliated with, or endorsed by, CMSor any healthcare provider. Information is provided “as is” for general reference and is not medical advice.

FCRA notice: NPI Central is not a consumer reporting agency. This information may not be used to determine eligibility for employment, credentialing, insurance, or any other purpose covered by the Fair Credit Reporting Act.

© 2026 NPI Central. All rights reserved.

Home/
NPI Lookup/
ID/
NPI 1417456385

OrganizationActive

Eagle Dermatology, PLLC

NPI 1417456385 · Dermatology Physician · Eagle, ID

Provider details

NPI number: 1417456385
Entity type: Organization
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Authorized official: Jennifer Guerrero, Practice Manager
License: O-1094 (ID)

Practice location

323 E Riverside Dr Ste 234

Eagle, ID 83616-6865

Phone: (208) 391-7210

Fax: (208) 391-2130

More ID providers

Mailing address

372 S Eagle Rd # 126

Eagle, ID 83616-5908

Registry dates

Enumerated: 2018-02-06
Last updated: 2018-02-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Eagle Dermatology, PLLC — NPI 1417456385, Eagle, ID | NPI Central