POCATELLO RADIOLOGY PHYSICIANS OF IDAHO – NPI #1952377459
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

POCATELLO RADIOLOGY PHYSICIANS OF IDAHO is a radiologist located in POCATELLO, ID. NPPES has assigned the NPI number 1952377459 to POCATELLO RADIOLOGY PHYSICIANS OF IDAHO on February 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “POCATELLO RADIOLOGY PHYSICIANS OF IDAHO” is a dba name, the actual legal business name for this organization is RADIOLOGY PHYSICIANS OF IDAHO. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 12 years ago on Aug 04, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for POCATELLO RADIOLOGY PHYSICIANS OF IDAHO below.

NPI Profile for
RADIOLOGY PHYSICIANS OF IDAHO

NPI Number
1952377459
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RADIOLOGY PHYSICIANS OF IDAHO
Doing Business As (dba): POCATELLO RADIOLOGY PHYSICIANS OF IDAHO
Primary location
1151 HOSPITAL WAY BLDG B
POCATELLO, ID 83201
Phone: (208) 233-1187 Fax: (208) 234-3841
Mailing address
P.O. BOX 2580
1151 HOSPITAL WAY BLDG B
POCATELLO, ID 83201
Phone: (208) 233-1187 Fax: (208) 234-3841
Organization Subpart
No
Authorized Official
STEVEN LARSEN
PRESIDENT
Phone: (208) 233-1187
Updated
Identifiers

Identifiers for POCATELLO RADIOLOGY PHYSICIANS OF IDAHO

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDID002473400
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.