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Stoddard Medical, Inc

NPI 1972745594ActiveOrganization· Dermatology· Chubbuck, ID

Dermatology in Chubbuck, Idaho, registered in NPPES in March 2009. The authorized official on file is Earl R. Stoddard, M.D., Owner/Physician.

Overview

NPI1972745594
StatusActive
Entity typeOrganization
NPI issuedMar 27, 2009
Last updated in NPPESApr 4, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Dermatology Primary207N00000XM9280ID

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 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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 Dermatology providers in Chubbuck

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