Scholes Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SCHOLES DERMATOLOGY LLC

Practice address

526 Shoup Ave W Ste a
Twin Falls, ID 83301-5050

Phone

(208) 734-5555

Fax

(208) 734-4790

NPI assigned

Sep 8, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Christopher Thad Scholes, M.D.NPI 1760491542

Title

Dermatologist

Phone

(208) 734-5555

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Thad Scholes, M.D.

  • Dermatology Physician
  • Twin Falls, ID
  • NPI 1760491542
  Medicare reassignment Care Compare group NPD Authorized official
• Neelie Berlin Willis, PA-C

  • Physician Assistant
  • Twin Falls, ID
  • NPI 1477590958
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1366810442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-3306",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911103306",
            "telephone_number": "208-734-5555",
            "fax_number": "208-734-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 SHOUP AVE W STE A",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015050",
            "telephone_number": "208-734-5555",
            "fax_number": "208-734-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOLES DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "SCHOLES",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "THAD",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "208-734-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366810442",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558313528",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Kay Schalk
• Stephen E Schmid, MD
• Celia B Schnidt, COTA
• Lauren Schoessler, FNP
• Scholes and Scholes Dermatology
• Anna Germana Scholes, PHARMACIST
• Christopher Thad Scholes, M.D.
• Scott D Schrader, P.A.
• Greg A. Schroeder
• Lindsey Diane Schroeder, DPT

• Dermatology Physician in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Dermatology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.