P Praxis·MD
● Active Type 1 · Individual

Ryan C Golob, CRNA

Nurse Anesthetist, Certified Registered·Coeur D Alene, ID· NPI 1073795985 · Enumerated 2007 · 18 years on NPI
Golob is 1 of 44 nurse anesthetist, certified registered providers in Coeur D Alene and 1 of 575 in Idaho.
NPI age
18 years
Enumerated 2007-12-03
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 1 subspecialty
Licensed in
ID, CO
2 states
Status
Active
No deactivations on record
Last NPPES update
2017-11-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 575 active nurse anesthetist, certified registered providers in Idaho.

NPI age
18 years
↑ 3 yr above median (15 yr)
State licenses
2 states
Top 81% — 18% of peers are multi-state
Subspecialties
0
32% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-12Enumerated in NPPES
2007 2026

Where they practice

Practice location
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
📞 2086662000
Mailing address
2204 Ironwood Pl Ste B
Coeur D Alene, ID 838142662
📞 2087658585

Specialties

  • Nurse Anesthetist, Certified Registered Primary
    (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
    ID license #RNA-866ACO license #160305 taxonomy 367500000X

Identifiers

TypeValueNotes
01 (CO) 160305 COLORADO LICENSE
01 (ID) RNA-866A IDAHO LICENSE
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 239 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new nurse anesthetist, certified registered provider has been added in Coeur D Alene in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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