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GRITMAN UROLOGY
NPI 1538885652
Urology in Moscow, ID

Active since October 19, 2022CLIA 13D2314057 · Microscopy
700 S MAIN ST, MOSCOW, ID 83843(208) 883-1846(208) 892-1116 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 8, 2022, Oct 19, 2022 (2 updates tracked since 2022).

About Gritman Urology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRITMAN UROLOGY (NPI 1538885652) is a healthcare organization registered as an urology in Moscow, Idaho and active in the NPI registry since October 2022. The organization holds a CLIA Microscopy certificate valid through November 11, 2026 and lists Danielle Lynas, Cfo, as its authorized official.

NPPES Registry Identity

NPI1538885652
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGRITMAN MEDICAL CENTER INC
Location Address700 S MAIN STMoscow, ID 83843-3056
Mailing AddressPo Box 8007Moscow, ID 83843-0507 · (208) 883-2224
Phone(208) 883-1846
Fax(208) 892-1116
Organization SubpartNo
Authorized OfficialDanielle LynasCfo · (208) 883-2220
Enumeration DateOctober 19, 2022
Last NPPES UpdateNovember 8, 20222 updates tracked since enumeration
NPPES CertifiedNovember 8, 2022
✔ NPI 1538885652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

700 S MAIN ST, Moscow, ID 83843
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Other Names 1

Doing Business AsGritman Urology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 13D2314057

Gritman Urology · Moscow, ID
Active · expires Nov 11, 2026
CLIA Number13D2314057
Laboratory TypePhysician Office
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorBryan Smith
Laboratory Phone(208) 883-2227
Laboratory LocationGritman Urology803 S Main St Ste #320, Moscow, ID 83843
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN BROGIS M.D.
Emergency Medicine
700 S MAIN ST
MOSCOW, ID 83843
Latah County (208) 882-4511
MISS AMANDA K BLANKENSHIP LMP, NCTMB
Massage Therapist
700 S MAIN ST, GRITMAN MEDICAL CENTER
MOSCOW, ID 83843
Latah County (208) 883-6544
DR. LESLEY ANNE PORTUGAL M.D.
Internal Medicine
700 S MAIN ST
MOSCOW, ID 83843
Latah County (208) 882-4511
CHRISTOPHER MICHAEL STANDLEY D.O.
Family Medicine
700 S MAIN ST
MOSCOW, ID 83843
Latah County (208) 882-4511
JILL LYNN LAWRENCE LMT
Massage Therapist
700 S MAIN ST
MOSCOW, ID 83843
Latah County (208) 883-4104
ADRIANNE MARIE FEJES DNP, CRNA
Nurse Anesthetist, Certified Registered
700 S MAIN ST
MOSCOW, ID 83843
Latah County (208) 882-4511
DOROTHY PLAZA
Registered Nurse (Diabetes Educator)
700 S MAIN ST
MOSCOW, ID 83843
Latah County (208) 883-6341
HOSPICE OF THE PALOUSE
Hospice Care, Community Based
700 S MAIN ST
MOSCOW, ID 83843
Latah County (208) 883-1228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gritman Medical Center Inc's NPI number?

The NPI number for Gritman Medical Center Inc is 1538885652. It was assigned to this organization in the NPPES registry on October 19, 2022. The provider is doing business as Gritman Urology.

Where is Gritman Medical Center Inc located?

Gritman Medical Center Inc is located at 700 S Main St, Moscow, ID 83843. The listed phone number is (208) 883-1846.

What is Gritman Medical Center Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Gritman Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D2314057) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gritman Medical Center Inc was last updated on November 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.