OrganizationActive
Stoddard Medical, Inc
NPI 1972745594 · Dermatology Physician · Chubbuck, ID
Provider details
- NPI number
- 1972745594
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Earl Stoddard, Owner/Physician(208) 238-7546
- License
- M9280 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
147 W Chubbuck Rd
Chubbuck, ID 83202-2314
Phone: (208) 238-7546
Fax: (208) 237-9643
Street-level locationGet directions
Mailing address
147 W Chubbuck Rd
Chubbuck, ID 83202-2314
Other names (DBA / former)
- Doing business as
- Idaho Skin Institute, Inc.
Registry dates
- Enumerated
- 2009-03-27
- Last updated
- 2012-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.