IDAHO SKIN INSTITUTE OF TWIN FALLS – NPI #1114691813
Dermatology

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

IDAHO SKIN INSTITUTE OF TWIN FALLS is a dermatologist located in TWIN FALLS, ID. NPPES has assigned the NPI number 1114691813 to IDAHO SKIN INSTITUTE OF TWIN FALLS on August 05, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “IDAHO SKIN INSTITUTE OF TWIN FALLS” is a dba name, the actual legal business name for this organization is STODDARD & BINGHAM MEDICAL OF TWIN FALLS PLLC. The primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

The NPI profile was previously updated about 3 years ago on Jul 25, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IDAHO SKIN INSTITUTE OF TWIN FALLS below.

NPI Profile for
STODDARD & BINGHAM MEDICAL OF TWIN FALLS PLLC

NPI Number
1114691813
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STODDARD & BINGHAM MEDICAL OF TWIN FALLS PLLC
Doing Business As (dba): IDAHO SKIN INSTITUTE OF TWIN FALLS
Primary location
1411 FALLS AVE E STE 1002
TWIN FALLS, ID 83301-3459
Phone: (208) 595-5424 Fax: (208) 595-5426
Mailing address
147 W CHUBBUCK RD
CHUBBUCK, ID 83202-2314
Phone: (208) 238-7546 Fax: (208) 237-9643
Organization Subpart
No
Authorized Official
EARL STODDARD
OWNER
Phone: (208) 238-7546
Updated
Certification Date
Jul 25, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for IDAHO SKIN INSTITUTE OF TWIN FALLS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherPERSONAL NPI1164834073
otherPERSONAL NPI1548482482
otherPERSONAL NPIID1760400238
otherPERSONAL NPIID1528533296
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.