TETON RADIOLOGY MADISON LLC


Address: 425 E 4th N, Rexburg, ID 83440-5390
Phone: 2083564888

TETON RADIOLOGY MADISON LLC (NPI# 1407081060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407081060
Entity Type Organization
Organization Name TETON RADIOLOGY MADISON LLC
Practice Address 425 E 4th N
Rexburg
ID 83440-5390
Mailing Address Po Box 3007
Idaho Falls
ID 83403-3007
Practice Telephone 2083564888
Mailing Telephone 2085528772
Mailing Fax Number 2085232025
Enumeration Date 2009-05-26
Last Update Date 2015-01-10
Authorized Official Name JOHN J STROBEL (VP)
Authorized Official Telephone 2085425000
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085B0100X Radiology
Specialization: Body Imaging
Allopathic & Osteopathic Physicians

Office Location

Street Address 425 E 4TH N
City REXBURG
State ID
Zip Code 83440-5390

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235768490 Henry's Fork Surgery Center Pllc Clinic/Center 23 Sawtelle Ave, Rexburg, ID 83440 2020-04-08
1952956906 Shane Ellis Withers Pharmacist 164 E. Main, Rexburg, ID 83440 2019-08-06
1316392285 Emma Anderson Speech-Language Pathologist 36 Professional Plaza Suite 110, Rexburg, ID 83440 2016-04-28
1851755524 Sandra Frickey Speech-Language Pathologist 1087 Summers Drive, Premier Therapy Associates, Rexburg, ID 83440 2016-04-08
1275997215 Kerry Denney Counselor 333 Walker Drive, Rexburg, ID 83440 2016-04-06
1467837583 Wal-mart Stores, Inc. Technician/Technologist 303 E Moody Rd, Rexburg, ID 83440 2015-07-30
1649692609 Tanabell Health Services, Inc. Skilled Nursing Facility 410 W 1st N, Rexburg, ID 83440 2014-01-10
1043652571 Creed Simon Webster Counselor 30 S 2nd W, Rexburg, ID 83440 2013-07-25
1033461660 James Cannon Allen Dds PC Dentist 106 E 1st North, Rexburg, ID 83440 2012-10-05
1417217316 Shelby Dee Woolstenhulme Speech-Language Pathologist 450 E. Main Street, Rexburg, ID 83440 2012-05-24
Find all providers in zip 83440

Taxonomy Information

Taxonomy Code 2085B0100X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Body Imaging

Taxonomy Definition

A Radiology doctor of Osteopathy that specializes in Body Imaging.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467709352 A Window Within Imaging Center Radiology 723 Pine St, Sandpoint, ID 83864-1486 2012-08-09
1841291861 Charles W Maile Radiology 520 North Third, Sandpoint, ID 83864-1507 2005-08-02
1023246741 Chad Eric Sarver Radiology 500 W Fort St, Boise, ID 83702-4501 2009-07-01
1194969725 Teton Radiology Diagnostic, LLC Radiology 2001 S Woodruff Ave Ste 17, Idaho Falls, ID 83404-6372 2009-04-27
1679710123 Russell W Wright Radiology 190 E Bannock St, C/o Boise Radiology Group, Boise, ID 83712-6241 2009-01-20
1447402425 Christopher James Malcom Radiology 4519 Enterprise Way, Caldwell, ID 83605-8055 2008-10-21
1326257064 Mark Ryan Papenfuss Radiology 1055 N Curtis Road, Boise, ID 83706-1309 2007-05-21
1841392982 Jeffrey Carl Bickel Radiology 415 6th St, Lewiston, ID 83501-2431 2006-09-01
1609829613 Frederick B Fitts Jr. Radiology 1501 Hiland Ave, Burley, ID 83318-2682 2006-05-19

Competitor

Search similar providers

City REXBURG
Zip Code 83440

Improve Information

Please comment or provide details below to improve the information on TETON RADIOLOGY MADISON LLC.

Dataset Information

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.

Trending Searches