NPI age
5 years
Enumerated 2020-07-07
● Active Type 2 · Organization
Subpart
Shoshone Medical Center
Shoshone Medical Center is 1 of 1691 family medicine organizations in Idaho.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Erdman
Cfo
Last NPPES update
2021-04-27
Source: monthly bulk 2026-05
How this organization compares
Across 1691 active family medicine providers in Idaho.
NPI age
5 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-07Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
25 Jacobs Gulch Rd
Kellogg, ID 838372023
Mailing address
25 Jacobs Gulch Rd
Kellogg, ID 838372023
Authorized official
Donja C Erdman
Cfo
📞 2087841221
Individual providers at this organization
9 individual providers on file at this primary practice address.
- Jennifer Backman, DO Family Medicine NPI 1306862388
- Thomas Heston, M.D. Family Medicine NPI 1861447245
- Benjamin Krasin, M.D. Internal Medicine NPI 1316327927
- Gwen McKee, APRN Nurse Practitioner NPI 1043088222
- Megan Mills, LPC Counselor NPI 1003656331
- Emma Stayduhar Physical Medicine & Rehabilitation NPI 1164903076
- Joanne Swiatek Occupational Therapist NPI 1962981951
- Farah Vega, MD Hospitalist NPI 1114389665
- Adrianne Vest, PTA Physical Therapy Assistant NPI 1871441485
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Practice context
Multi-provider organization. 9 individual providers on file at this primary address.
Subpart of Shoshone Medical Center.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.