Comprehensive Dermatology of Idaho, PLLC
NPI 1386921294ActiveOrganization· Dermatology· Nampa, ID
Dermatology in Nampa, Idaho, registered in NPPES in November 2011. The authorized official on file is Ryan Scott Owsley, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1386921294 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 5, 2011 |
| Last updated in NPPES | Dec 23, 2019 |
| Certified by provider | Dec 23, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | M8483 | ID |
| Physician Assistant | 363A00000X | PA280 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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