Idaho Dermatologic Surgery & Laser Center PA
NPI 1649478454 · MOHS-Micrographic Surgery Physician · Boise, ID
Idaho Dermatologic Surgery & Laser Center PA is a MOHS-Micrographic Surgery Physician organization in Boise, ID (NPI 1649478454).
Provider details
- NPI number
- 1649478454
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Teri Cottingham, Owner(208) 869-2869
- License
- M-7506 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Medical Specialty Clinic/Center261QM2500X
Ambulatory Health Care Facilities
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2007-07-03
- Last updated
- 2024-02-23
- Certified
- 2024-02-23
Frequently asked questions
- What is Idaho Dermatologic Surgery & Laser Center PA's NPI number?
- Idaho Dermatologic Surgery & Laser Center PA's National Provider Identifier (NPI) is 1649478454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho Dermatologic Surgery & Laser Center PA?
- Idaho Dermatologic Surgery & Laser Center PA is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Idaho Dermatologic Surgery & Laser Center PA located?
- Idaho Dermatologic Surgery & Laser Center PA's practice location on file with NPPES is 1488 N Knights Dr, Boise, ID 83712-6557.
- What is Idaho Dermatologic Surgery & Laser Center PA's phone number?
- The practice phone number listed in the NPPES registry for Idaho Dermatologic Surgery & Laser Center PA is (208) 345-4050.
- Who is the authorized official for Idaho Dermatologic Surgery & Laser Center PA?
- The authorized official listed on Idaho Dermatologic Surgery & Laser Center PA's NPPES record is Teri Cottingham, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho Dermatologic Surgery & Laser Center PA's NPI active?
- Yes — Idaho Dermatologic Surgery & Laser Center PA's NPI (1649478454) is active in the NPPES registry as of the last update on 2024-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.