OrganizationActive
Integrated Dermatology of Idaho LLC
NPI 1508345091 · Dermatology Physician · Boise, ID
Integrated Dermatology of Idaho LLC is a Dermatology Physician organization in Boise, ID (NPI 1508345091).
Provider details
- NPI number
- 1508345091
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Queen, Owner(561) 314-2000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
388 E Parkcenter Blvd
Boise, ID 83706-3942
Phone: (208) 424-9101
Fax: (208) 424-5072
Street-level locationGet directions
Mailing address
4700 Exchange Ct Ste 110
Boca Raton, FL 33431-4450
Other names (DBA / former)
- Doing business as
- Gem State Dermatology
Registry dates
- Enumerated
- 2018-08-07
- Last updated
- 2018-08-07
Frequently asked questions
- What is Integrated Dermatology of Idaho LLC's NPI number?
- Integrated Dermatology of Idaho LLC's National Provider Identifier (NPI) is 1508345091, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Integrated Dermatology of Idaho LLC?
- Integrated Dermatology of Idaho LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Integrated Dermatology of Idaho LLC located?
- Integrated Dermatology of Idaho LLC's practice location on file with NPPES is 388 E Parkcenter Blvd, Boise, ID 83706-3942.
- What is Integrated Dermatology of Idaho LLC's phone number?
- The practice phone number listed in the NPPES registry for Integrated Dermatology of Idaho LLC is (208) 424-9101.
- Who is the authorized official for Integrated Dermatology of Idaho LLC?
- The authorized official listed on Integrated Dermatology of Idaho LLC's NPPES record is Jeffrey Queen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Integrated Dermatology of Idaho LLC's NPI active?
- Yes — Integrated Dermatology of Idaho LLC's NPI (1508345091) is active in the NPPES registry as of the last update on 2018-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.