CDA ULTRASOUND, INC. (NPI# 1265989172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265989172 |
| Entity Type | Organization |
| Organization Name | CDA ULTRASOUND, INC. |
| Other Organization Name | COEUR D'ALENE ULTRASOUND |
| Practice Address |
2201 N Government Way Suite J Coeur D Alene ID 83814-3658 |
| Practice Telephone | 2082612520 |
| Mailing Telephone | 2082612520 |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |
| Authorized Official Name | TRAVIS ARMSTRONG (CEO) |
| Authorized Official Telephone | 2087713882 |
| Authorized Official Credential | RDMS, RVT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
ARDMS79341 | NY | Technologists, Technicians & Other Technical Service Providers |
| N | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
ARDMS52476 | CA | Technologists, Technicians & Other Technical Service Providers |
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
ARDMS52476 | CA | Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| Coeur d'Alene Ultrasound | Doing Business As Name - Organization |
| Street Address |
2201 N GOVERNMENT WAY SUITE J |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-3658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811081276 | Steven Thomas Gatten | Dentist | 2201 N Government Way, Suite G, Coeur D Alene, ID 83814-3658 | 2006-10-02 |
| 1205388907 | Collaborative Behavior Solutions, LLC | Community/Behavioral Health | 2201 N Government Way, Suite B, Coeur D Alene, ID 83814-3658 | 2016-10-28 |
| 1669929428 | Trina Armstrong | Radiologic Technologist | 2201 N Government Way, Suite J, Coeur D Alene, ID 83814-3658 | 2016-09-08 |
| 1669929840 | Travis Armstrong | Radiologic Technologist | 2201 N Government Way, Suite J, Coeur D Alene, ID 83814-3658 | 2016-09-06 |
| 1144640509 | Coeur D Alene Family Dentisrty | Dentist | 2201 N Government Way, Suite G, Coeur D Alene, ID 83814-3658 | 2014-04-23 |
| 1154614667 | James Sollar Hough | Dentist | 2201 N Government Way, Suite A, Coeur D Alene, ID 83814-3658 | 2011-05-17 |
| 1568779403 | Steven T Gatten Dds | Dentist | 2201 N Government Way, Coeur D Alene, ID 83814-3658 | 2010-09-13 |
| 1649468521 | Patricia J Easton | Social Worker | 2201 N Government Way, Suite # K, Coeur D Alene, ID 83814-3658 | 2007-10-04 |
| 1831232768 | Highroad Human Services, Inc. | Day Training, Developmentally Disabled Services | 2201 N Government Way, Suite B, Coeur D Alene, ID 83814-3658 | 2007-02-14 |
| 1396888228 | Highroad Human Services, Inc. | Community/Behavioral Health | 2201 N Government Way, Suite B, Coeur D Alene, ID 83814-3658 | 2007-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598063471 | Daniel E Arthur | Radiologic Technologist | 5023 E Fernan Lake Rd, 5023 E Fernan Lake Rd, Coeur D Alene, ID 83814-7778 | 2011-03-02 |
| 1669929428 | Trina Armstrong | Radiologic Technologist | 2201 N Government Way, Suite J, Coeur D Alene, ID 83814-3658 | 2016-09-08 |
| 1669929840 | Travis Armstrong | Radiologic Technologist | 2201 N Government Way, Suite J, Coeur D Alene, ID 83814-3658 | 2016-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780968313 | Ranae Davison | Radiologic Technologist | 1515 Newport St, Boise, ID 83709-3008 | 2011-09-30 |
| 1477867950 | Sherri L. Eames | Radiologic Technologist | 9402 S Marsh Creek Rd, Mccammon, ID 83250-1695 | 2010-07-27 |
| 1013081058 | Bobodzhanov Inc | Radiologic Technologist | 440 W Broderick Dr, Meridian, ID 83646-6427 | 2006-11-20 |
| 1215387857 | Baby's First Womb Inc | Radiologic Technologist | 1404 N Main St, Ste 100, Meridian, ID 83642-2799 | 2016-06-14 |
| 1861872574 | Darci Caywood | Radiologic Technologist | 16670 Ustick Rd, Caldwell, ID 83607-9611 | 2015-06-08 |
| 1750662920 | Inside Image | Radiologic Technologist | 1076 W Hayden Ave, Hayden, ID 83835-8793 | 2011-09-01 |
| 1538440821 | Theresa A. Porcarelli | Radiologic Technologist | 1076 W Hayden Ave, Hayden, ID 83835-8793 | 2011-08-31 |
| City | COEUR D ALENE |
| Zip Code | 83814 |
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| 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.