Organization
ISSC FRUITLAND
Active
Organization
ISSC FRUITLAND
Active
Parent organization
IDAHO SKIN SURGERY CENTER, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
IDAHO SKIN SURGERY CENTER, PC
Authorized official
CELIA RAMOS (PRACTICE MANAGER)
(208) 452-7450
Entity
Organization
Contact information
Practice address
975 NW 16TH ST., FRUITLAND, ID 83619
(208) 452-7450
(208) 452-7550
Mailing address
975 NW 16TH ST., FRUITLAND, ID 83619
(208) 452-7450
(208) 452-7550
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
07/16/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up