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NPI 1538885652
● Active Type 2 · Organization
Gritman Medical Center Inc
Urology · Moscow, ID · NPI 1538885652
·
Enumerated 2022 · 3 years on NPI
Gritman Medical Center Inc is 1 of 78 urology organizations in Idaho.
NPI age
3 years
Enumerated 2022-10-19
Primary specialty
Urology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lynas
Cfo
Last NPPES update
2022-11-08
Source: monthly bulk 2026-05
How this organization compares
Across 78 active urology providers in Idaho.
NPI age
3 years
↓ 16 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2022 → 2026
2022-10 Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
700 S Main St
Moscow, ID 838433056
📞 2088831846 fax 2088921116
Mailing address
Po Box 8007
Moscow, ID 838430507
📞 2088832224
Authorized official
Danielle Lynas
Cfo
📞 2088832220
Individual providers at this organization
20 individual providers on file at this primary practice address.
Michelle Baker , LMP, NCTMB
Massage Therapist
NPI 1366737488
Gregory Bauer , CRNA
Nurse Anesthetist, Certified Registered
NPI 1255496493
Heather Beasley , M.D.
Emergency Medicine
NPI 1265895510
Amanda Blankenship , LMP, NCTMB
Massage Therapist
NPI 1013120435
Janice Boughton , M.D.
Internal Medicine
NPI 1497784219
Rand Bracken , CRNA
Nurse Anesthetist, Certified Registered
NPI 1386616332
Valerie Branson , RDN
Dietitian, Registered
NPI 1588237952
Lauren Brogis , M.D.
Emergency Medicine
NPI 1003267493
Ellenmarie Brown , M.D
Internal Medicine
NPI 1568629699
John Brown , MD
Family Medicine
NPI 1912008095
Dean Cisco , DPT
Physical Therapist
NPI 1972296994
James Clark , D.O.
Emergency Medicine
NPI 1578523577
Jody Clough , CCC-SLP
Speech-Language Pathologist
NPI 1467641803
Marissa Collier , RD
Dietitian, Registered
NPI 1700634532
Duane Dale
Speech-Language Pathologist
NPI 1427566751
Jacqueline Davis , RDN
Dietitian, Registered
NPI 1477386738
Kaylee Drenker , PHARMD
Pharmacist
NPI 1720616188
Tiffany Duman , RDN, LD
Dietitian, Registered
NPI 1407431406
Marie Eriksson , P.T.
Physical Therapist
NPI 1720137532
Adrianne Fejes , DNP, CRNA
Nurse Anesthetist, Certified Registered
NPI 1093605669
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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How to verify this organization
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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.