ADA WEST DERMATOLOGY, PC
NPI 1518973338
Dermatology in Meridian, ID
NPI Status: Active since August 01, 2006
Contact Information
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID
ZIP 83642
Phone: (208) 884-3376
Fax: (208) 884-0858
- Organization
- Dermatology
- Accepts Insurance
- CLIA Number: 13D0895833
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-03-2026
About ADA WEST DERMATOLOGY, PC
This page provides the complete NPI Profile along with additional information for Ada West Dermatology, Pc, a provider established in Meridian, Idaho operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1518973338 assigned on August 2006. The practitioner's primary taxonomy code is 207N00000X with license number M5986 (ID). The provider is registered as an organization and their NPI record was last updated June 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Colleen Jones (Cfo)
- NPI
- 1518973338
- Provider Name
- ADA WEST DERMATOLOGY, PC
- Entity Type
- Organization
- Location Address
- 1618 S MILLENIUM WAY STE 100 MERIDIAN, ID 83642
- Location Phone
- (208) 884-3376
- Location Fax
- (208) 884-0858
- Mailing Address
- 1618 S. MILLENNIUM WAY SUITE 100 MERIDIAN, ID 83642
- Mailing Phone
- (208) 884-3376
- Mailing Fax
- (208) 884-0858
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-01-2006
- Last Update Date
- 06-04-2025
- Code Navigator
A dermatologist like Ada West Dermatology, Pc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- M5986
- License State
- ID
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- High Plains Bronze HDHP - PPO
- High Plains Bronze Standard Expanded - PPO
- High Plains Gold - PPO
- High Plains Gold HDHP - PPO
- High Plains Gold Standard - PPO
- High Plains Silver - PPO
- High Plains Silver Standard - PPO
- Plus Bronze Expanded - PPO
- Plus Bronze Standard Expanded - PPO
- Plus Gold - PPO
- Plus Gold Standard - PPO
- Plus Silver Standard - PPO
- ACCESS BRONZE - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D0895833
- Facility Type
- Physician Office
- Certificate Effective Date
- January 04, 2024
- Certificate Expiration Date
- January 03, 2026
- Laboratory Director
- DANIEL WINCHESTER
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Ada West Dermatology, Pc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 1 | 8 | 9 | 7 | 3 | 3 | 3 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 2 | 8 | 18 | 7 | 6 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 2 + 8 + 1 + 8 + 7 + 6 + 3 + 6 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1518973338 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1013276237 | MAURA JANE HOLCOMB M.D. Individual | Dermatology | 1618 S MILLENIUM WAY STE 100 MERIDIAN, ID 83642 (208) 884-3376 |
| 1750863122 | KATHERINE SMALLEY PA-C Individual | Physician Assistant | 1618 S MILLENIUM WAY STE 100 MERIDIAN, ID 83642 (208) 884-3376 |
| 1538696455 | DR. CAMERON WALES Individual | Pathology (Dermatopathology) | 1618 S MILLENIUM WAY STE 100 MERIDIAN, ID 83642 (208) 884-3376 |
| 1013956853 | MR. ALEXANDER J ARHETS PA-C Individual | Physician Assistant | 1618 S MILLENIUM WAY STE 100 MERIDIAN, ID 83642 (208) 884-3376 |
| 1114966959 | MR. STEPHEN J FRELLY PA Individual | Physician Assistant | 1618 S MILLENIUM WAY STE 100 MERIDIAN, ID 83642 (208) 884-3376 |
| 1174596951 | ELIZABETH A SWANSON M.D. Individual | Dermatology (Pediatric Dermatology) | 1618 S MILLENIUM WAY STE 100 MERIDIAN, ID 83642 (208) 884-3376 |
| 1194430157 | KATHRYN MADDUX PA-C Individual | Physician Assistant | 1618 S MILLENIUM WAY STE 100 MERIDIAN, ID 83642 (208) 884-3376 |
| 1215019534 | MRS. RENEE M WILSON PA-C Individual | Physician Assistant (Medical) | 1618 S MILLENIUM WAY STE 100 MERIDIAN, ID 83642 (208) 884-3376 |
| 1265461479 | MS. TERESA GRAKLANOFF PA-C Individual | Physician Assistant | 1618 S MILLENIUM WAY STE 100 MERIDIAN, ID 83642 (208) 884-3376 |
| 1285803445 | DAVID JAMES BARCLAY II PA-C Individual | Physician Assistant | 1618 S MILLENIUM WAY STE 100 MERIDIAN, ID 83642 (208) 884-3376 |
| 1306273552 | MR. JEREMY DALLEY PA-C Individual | Physician Assistant | 1618 S MILLENIUM WAY STE 100 MERIDIAN, ID 83642 (208) 884-3376 |
| 1417184409 | MARK NOBLE SCHWENDIMAN D.O. Individual | Dermatology | 1618 S MILLENIUM WAY STE 100 MERIDIAN, ID 83642 (208) 884-3376 |
| 1417999657 | TIFFANY MCCRAY PA Individual | Physician Assistant | 1618 S MILLENIUM WAY STE 100 MERIDIAN, ID 83642 (208) 884-3376 |
| 1447781539 | WHITNEY MARQUE VINSON MD Individual | Dermatology | 1618 S MILLENIUM WAY STE 100 MERIDIAN, ID 83642 (208) 884-3376 |
| 1528590056 | DR. JENNIFER L SCOTT MD, PHD Individual | Dermatology (Dermatopathology) | 1618 S MILLENIUM WAY STE 100 MERIDIAN, ID 83642 (208) 884-3376 |
| 1568499713 | MR. BRIAN D FRIEDT PHYSICIANS ASSISTANT Individual | Physician Assistant | 1618 S MILLENIUM WAY STE 100 MERIDIAN, ID 83642 (208) 884-3376 |
| 1568880995 | RYAN BRUCE THORPE Individual | Dermatology (MOHS-Micrographic Surgery) | 1618 S MILLENIUM WAY STE 100 MERIDIAN, ID 83642 (208) 884-3376 |
| 1588018170 | PETER BOOTHMAN M.D. Individual | Dermatology (MOHS-Micrographic Surgery) | 1618 S MILLENIUM WAY STE 100 MERIDIAN, ID 83642 (208) 884-3376 |
| 1689191827 | HANNAH RAINES JONES PA-C Individual | Physician Assistant | 1618 S MILLENIUM WAY STE 100 MERIDIAN, ID 83642 (208) 884-3376 |
| 1699290296 | JASON SMITH PA Individual | Physician Assistant | 1618 S MILLENIUM WAY STE 100 MERIDIAN, ID 83642 (208) 884-3376 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518973338, enumerated in the NPI registry as an "organization" on August 01, 2006
The provider is located at 1618 S Millenium Way Ste 100 Meridian, Id 83642 and the phone number is (208) 884-3376
This medical organization specializes in Dermatology with taxonomy code 207N00000X
The provider might be accepting Accepts: Moda Health Plan, Inc. and Mountain Health CO-OP. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 13D0895833 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on August 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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