TREASURE VALLEY DERMATOLOGY & SKIN CANCER CENTER, PLLC – NPI #1598271645
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.

TREASURE VALLEY DERMATOLOGY & SKIN CANCER CENTER, PLLC is a dermatologist located in MERIDIAN, ID. NPPES has assigned the NPI number 1598271645 to TREASURE VALLEY DERMATOLOGY & SKIN CANCER CENTER, PLLC on December 26, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. 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 2 years ago on Apr 08, 2024. 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 TREASURE VALLEY DERMATOLOGY & SKIN CANCER CENTER, PLLC below.

NPI Profile for
TREASURE VALLEY DERMATOLOGY & SKIN CANCER CENTER, PLLC

NPI Number
1598271645
Enumeration Date

(more than 8 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
TREASURE VALLEY DERMATOLOGY & SKIN CANCER CENTER, PLLC
Primary location
2535 E FAIRVIEW AVE
MERIDIAN, ID 83642-8072
Phone: (208) 519-4333 Fax: (208) 205-9134
2 Other location(s):
999 N Curtis Rd Ste 307
Boise, ID 83706-1333
Phone: (208) 519-4333
Fax: (208) 205-9134
404 E Elm St
Caldwell, ID 83605-4846
Phone: (208) 519-4333
Fax: (208) 205-9134
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DUSTIN PORTELA
PRESIDENT
Phone: (208) 351-8088
Updated
Certification Date
Apr 03, 2024

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.

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)
ID O-1052

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
6051 N EAGLE RD,
BOISE, ID 77025-1669