Skip to content

Summit Dermcare, PLLC

NPI 1043178650ActiveOrganization· Physician Assistant· Pocatello, ID

Physician Assistant in Pocatello, Idaho, registered in NPPES in January 2026. The authorized official on file is Travis Gilbert, PA-C, Owner.

Overview

NPI1043178650
StatusActive
Entity typeOrganization
NPI issuedJan 13, 2026
Last updated in NPPESSep 9, 2026
Certified by providerSep 9, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Physician Assistant providers in Pocatello

All Physician Assistant providers in Idaho →