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ADVANCED WOUND THERAPY IDAHO PLLC
NPI 1619863404
Family Medicine in Post Falls, ID

Active since June 17, 2025
1224 N IDAHO ST STE 9, POST FALLS, ID 83854(918) 592-0920 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 13, 2026, Sep 2, 2025, Jun 17, 2025 (3 updates tracked since 2025).

About Advanced Wound Therapy Idaho Pllc NPPES

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

ADVANCED WOUND THERAPY IDAHO PLLC (NPI 1619863404) is a healthcare organization registered as a family medicine in Post Falls, Idaho and active in the NPI registry since June 2025. The organization lists Darwin Griffeth, Coo, as its authorized official.

NPPES Registry Identity

NPI1619863404
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameADVANCED WOUND THERAPY IDAHO PLLC
Location Address1224 N IDAHO ST STE 9Post Falls, ID 83854-9024
Mailing Address2488 E 81st St Ste 2000Tulsa, OK 74137-4224 · (918) 592-9020
Phone(918) 592-0920
Organization SubpartNo
Authorized OfficialDarwin GriffethCoo · (918) 592-9020
Enumeration DateJune 17, 2025
Last NPPES UpdateJanuary 13, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1619863404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family 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 family medicine is not limited by age, sex, organ system, or disease entity.
1224 N IDAHO ST STE 9, Post Falls, ID 83854
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Wound Therapy Idaho Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Advanced Wound Therapy Idaho PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Matthew Carmichael, D.O.
Emergency Medicine
NPI 1205147998
2488 E 81ST ST STE 2000
Tulsa, OK 74137
(918) 502-3939
✔ PECOS✔ Accepts Medicare1,342 mi
Thomas Denmark, M.D.
Family Practice
NPI 1881629079
2488 E 81ST ST STE 2000
Tulsa, OK 74137
(918) 592-9020
✔ PECOS✔ Accepts Medicare1,342 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Advanced Wound Therapy Idaho PLLC's NPI number?

The NPI number for Advanced Wound Therapy Idaho PLLC is 1619863404. It was assigned to this organization in the NPPES registry on June 17, 2025.

Where is Advanced Wound Therapy Idaho PLLC located?

Advanced Wound Therapy Idaho PLLC is located at 1224 N Idaho St Ste 9, Post Falls, ID 83854. The listed phone number is (918) 592-0920.

What is Advanced Wound Therapy Idaho PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Advanced Wound Therapy Idaho PLLC enrolled in Medicare?

Yes. Advanced Wound Therapy Idaho PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Wound Therapy Idaho PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Advanced Wound Therapy Idaho PLLC, in Emergency Medicine and Family Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Wound Therapy Idaho PLLC was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.