Issc Fruitland
NPI 1568112688 · Dermatology Physician · Fruitland, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Issc Fruitland is a Dermatology Physician organization in Fruitland, ID (NPI 1568112688).
Provider details
- NPI number
- 1568112688
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Idaho Skin Surgery Center, PC
- Organization subpart
- Yes
- Authorized official
- Celia Ramos, Practice Manager(208) 452-7450
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
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
Mailing address
Registry dates
- Enumerated
- 2022-03-24
- Last updated
- 2025-07-16
- Certified
- 2025-07-03
Frequently asked questions
- What is Issc Fruitland's NPI number?
- Issc Fruitland's National Provider Identifier (NPI) is 1568112688, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Issc Fruitland?
- Issc Fruitland is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Issc Fruitland located?
- Issc Fruitland's practice location on file with NPPES is 975 Nw 16th St., Fruitland, ID 83619.
- What is Issc Fruitland's phone number?
- The practice phone number listed in the NPPES registry for Issc Fruitland is (208) 452-7450.
- Does Issc Fruitland accept Medicare?
- Issc Fruitland 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 Issc Fruitland?
- The authorized official listed on Issc Fruitland's NPPES record is Celia Ramos, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Issc Fruitland's NPI active?
- Yes — Issc Fruitland's NPI (1568112688) is active in the NPPES registry as of the last update on 2025-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.