NPI age
19 years
Enumerated 2006-12-08
● Active Type 2 · Organization
Greenwald Neurosurgical Pc
Greenwald Neurosurgical Pc is 1 of 260 surgery organizations in Idaho.
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ditmore
Office Manager
Last NPPES update
2009-06-25
Source: monthly bulk 2026-05
How this organization compares
Across 260 active surgery providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
3155 Channing Way, Suite B
Idaho Falls, ID 834047561
Mailing address
3155 Channing Way, Suite B
Idaho Falls, ID 834047561
Authorized official
Janeene Anne Ditmore
Office Manager
📞 2085354800
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Kevin Blair, LMT,PTA Massage Therapist NPI 1053145110
- Brent Greenwald, M.D. Neurological Surgery NPI 1134155666
- Kari Lasco-Sanders, DPT Physical Therapist NPI 1760621080
- Jed Loertscher, DPT Physical Therapist NPI 1417383654
- Christopher Rigby, DPT Physical Therapist NPI 1700174489
- Mark Thompson, DPT Physical Therapist NPI 1740693050
- Shannon West, CFA, CST Specialist/Technologist, Other NPI 1215089768
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 76836 | BLUE CROSS |
| 01 (ID) | 8M987 | BLUE CROSS PRACTICE |
| 01 (ID) | 000010001551 | BLUE SHIELD |
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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