Advanced Wound Therapy Idaho PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ADVANCED WOUND THERAPY IDAHO PLLC

Practice address

1224 N Idaho St Ste 9
Post Falls, ID 83854-9024

Phone

(918) 592-0920

NPI assigned

Jun 17, 2025

Last updated

Jan 13, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Darwin Griffeth, DC

Title

Coo

Phone

(918) 592-9020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew L Carmichael, D.O.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Tulsa, OK
  • NPI 1205147998

  Family Medicine, ID

  Medicare reassignment NPD
• Thomas Kenton Denmark, M.D.

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1881629079

  ID

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1619863404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 E 81ST ST STE 2000",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374224",
            "telephone_number": "918-592-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 N IDAHO ST STE 9",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549024",
            "telephone_number": "918-592-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WOUND THERAPY IDAHO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "GRIFFETH",
        "authorized_official_first_name": "DARWIN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "918-592-9020",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acrs, Inc (Abundant Wellness Center)
• Eve Adams, LCPC
• Mikayla Adams, PTA
• Amber Rebecca Addams, MS, CF-SLP
• John T. Ader, DO-RHEUMATOLOGY
• Aes Post Falls (Access Endodontic Specialists)
• Ahc Home Care LLC
• Bartimaeus Alan, LMT, ACMT
• Holly Alexander
• Sai Pramod Krishna Alla, MD

• Family Medicine Physician in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.