NAMPA RADIOLOGISTS PA (NPI# 1043249253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043249253 |
| Entity Type | Organization |
| Organization Name | NAMPA RADIOLOGISTS PA |
| Practice Address |
1512 12th Ave Rd Nampa ID 83686-6008 |
| Mailing Address |
Po Box 9649 Boise ID 83707-4649 |
| Practice Telephone | 2084635431 |
| Mailing Telephone | 2084728103 |
| Mailing Fax Number | 2083441926 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JANICE BROOKS (PRESIDENT) |
| Authorized Official Telephone | 2084635431 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085N0700X |
Radiology Specialization: Neuroradiology |
Allopathic & Osteopathic Physicians | ||
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| X | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
Allopathic & Osteopathic Physicians | ||
| X | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
1512 12TH AVE RD |
| City | NAMPA |
| State | ID |
| Zip Code | 83686-6008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013905355 | Steve Edward Roberts | Anesthesiology | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2005-10-11 |
| 1295141992 | Jane Stroebel | Pharmacist | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2014-07-02 |
| 1881973899 | Olawale Olaniyi | Internal Medicine | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2011-08-08 |
| 1730407461 | Sound Physicians of Idaho | Family Medicine | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2010-05-05 |
| 1821229279 | Patrick Daniel Vargas Villazon | Internal Medicine | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2009-08-03 |
| 1275772758 | James M Ineck | Pharmacist | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2009-02-06 |
| 1336388974 | Jesse Vanwart | Pharmacist | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2009-02-04 |
| 1942461850 | Joseph M. Mortensen | Anesthesiology | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2008-06-23 |
| 1235260845 | Donald G Rau | Radiology | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2007-03-07 |
| 1083751366 | Jeffrey Wayne Grossman | Radiology | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2007-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013085604 | Teton Radiology Diagnostic LLC | Radiology | 2001 S Woodruff Ave Ste 17, Idaho Falls, ID 83404-6372 | 2006-12-01 |
| 1225083520 | Virtual Radiology Associates LLC | Radiology | 2035 Silvercreek Ln, Boise, ID 83706-6112 | 2006-05-24 |
| 1295787935 | David J Giles | Radiology | 949 N Curtis Rd, Boise, ID 83706-1307 | 2006-05-17 |
| 1124002191 | Don Antonio Bell | Radiology | 190 E Bannock, Boise, ID 83712 | 2005-12-02 |
| 1013946235 | Boise Advanced Imaging Pllc | Radiology | 949 N Curtis Rd, Boise, ID 83706-1307 | 2006-07-01 |
| 1740216175 | Boise Radiology Group Pllc | Radiology | 190 E Bannock St, Boise, ID 83712-6241 | 2006-06-25 |
| 1215973169 | Idaho Radiology Associates Pllc | Radiology | 2035 Silvercreek Ln, Boise, ID 83706-6112 | 2006-06-21 |
| 1689617797 | Diane R Newton | Radiology | 2035 Silvercreek Ln, Boise, ID 83706-6112 | 2006-06-14 |
| 1518906312 | John Perl II | Radiology | 190 E Bannock, Boise, ID 83712 | 2006-06-06 |
| 1417915430 | Justin A Lamb | Radiology | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2006-05-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NAMPA RADIOLOGISTS PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.