OrganizationActive
Ada West Dermatology, PC
NPI 1518973338 · Dermatology Physician · Meridian, ID
Provider details
- NPI number
- 1518973338
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Colleen Jones, Cfo(208) 884-3376
- License
- M5986 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1618 S Millenium Way Ste 100
Meridian, ID 83642-6457
Phone: (208) 884-3376
Fax: (208) 884-0858
Street-level locationGet directions
Mailing address
1618 S. Millennium Way
Meridian, ID 83642-6457
Registry dates
- Enumerated
- 2006-08-01
- Last updated
- 2026-05-18
- Certified
- 2026-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.