Boise Dermaesthetics, LLC
NPI 1639117153ActiveOrganization· Family Medicine· Boise, ID
Family Medicine in Boise, Idaho, registered in NPPES in June 2006. The authorized official on file is Cheryl D. Lundy, Billing Manger.
Overview
| NPI | 1639117153 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 4, 2006 |
| Last updated in NPPES | Sep 12, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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