Wray Dermatology in Blackfoot, ID
This organization bills under NPI 1457110298, an organization record issued on Mar 14, 2024 with the primary taxonomy Dermatology Physician. Each clinician who works there has their own NPI and license.
Organization recordNPPES, Aug 2026
1457110298
- Legal name
- Wray Dermatology
- Entity
- Type 2 · organization
- Primary taxonomy
- Dermatology Physician 207N00000X
- Practice location
- 1355 PARKWAY DR STE A, Blackfoot, ID 83221
- Phone
- 986-275-0003
- Enumerated
- Mar 14, 2024
- Record updated
- May 6, 2026
- Authorized official
- Owner (title as filed)
3 clinicians CMS lists with Wray Dermatology in Blackfoot
- Tanner Mitton, PA-CPhysician Assistant1144601865
- David Woodbury, PAPhysician Assistant1598136368
- Adam Wray, DODermatology Physician1902952930
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Checking an organization
- Confirm the business with the Idaho secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
Common questions
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.