Eagle Dermatology, PLLC in Eagle, ID
This organization bills under NPI 1417456385, an organization record issued on Feb 6, 2018 with the primary taxonomy Dermatology Physician. Each clinician who works there has their own NPI and license.
Organization recordNPPES, Aug 2026
1417456385
- Legal name
- Eagle Dermatology, PLLC
- Entity
- Type 2 · organization
- Primary taxonomy
- Dermatology Physician 207N00000X
- Practice location
- 323 E RIVERSIDE DR STE 234, Eagle, ID 83616
- Phone
- 208-391-7210
- Enumerated
- Feb 6, 2018
- Record updated
- Feb 6, 2018
- Authorized official
- Practice Manager (title as filed)
3 clinicians CMS lists with Eagle Dermatology in Eagle
- Lori Ebinger, PA-CPhysician Assistant1629446661
- Gabriel Guerrero, DODermatology Physician1184080210
- Victoria RicePhysician Assistant1588317937
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Checking an organization
- Confirm the business with the Idaho secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
All taxonomies on this record
- 207N00000X Dermatology Physician
- 207ND0101X MOHS-Micrographic Surgery Physician
- 207ND0900X Dermatopathology Physician
- 207NI0002X Clinical & Laboratory Dermatological Immunology Physician
- 207NP0225X Pediatric Dermatology Physician
- 207NS0135X Procedural Dermatology Physician
Common questions
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.