HIGH VALLEY DERMATOLOGY & DERMATOLOGIC SURGERY PLLC – NPI #1063840288
Dermatology
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
HIGH VALLEY DERMATOLOGY & DERMATOLOGIC SURGERY PLLC is a dermatologist located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1063840288 to HIGH VALLEY DERMATOLOGY & DERMATOLOGIC SURGERY PLLC on October 25, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery
The NPI profile was last updated on Apr 13, 2026. 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 HIGH VALLEY DERMATOLOGY & DERMATOLOGIC SURGERY PLLC below.
NPI Profile for
HIGH VALLEY DERMATOLOGY & DERMATOLOGIC SURGERY PLLC
(more than 12 years ago)
IDAHO FALLS, ID 83404-4945 Phone: (208) 525-4888 Fax:
OFFICE MANAGER
Phone: (208) 525-4888
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Identifiers for HIGH VALLEY DERMATOLOGY & DERMATOLOGIC SURGERY PLLC
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | NPI | 1528279189 |
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 |
|---|---|---|
| 207ND0101X - Dermatology / MOHS-Micrographic Surgery (Primary) |
ID | O-0568 |
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.