Jan Deblieck MD PA
NPI 1497960983ActiveOrganization· Dermatology· Boise, ID
Dermatology in Boise, Idaho, registered in NPPES in May 2007. The authorized official on file is Jennifer Deblieck, M.D., Physician-Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1497960983 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 10, 2007 |
| Last updated in NPPES | Jul 17, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | M7045 | 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) |
|---|
Other Dermatology providers in Boise
- 1104220797
- 1811942188
- 1912040270
- 1750093571
- 1295908127
- 1508345091
- 1982736435
- 1700040532
- 1548758501
- 1437544582
- 1124106364
- 1861421240