Carolyn E Coffman (NPI# 1285681718, PAC ID# 3476582503) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1285681718 |
| PAC ID by PECOS | 3476582503 |
| Professional Enrollment ID | I20050809001052 |
| Full Name | Carolyn E Coffman |
| Organization Legal Name | INTERMOUNTAIN MEDICAL IMAGING LLC |
| Address |
323 E Riverside Dr Suite 108 Eagle ID 83616-6865 |
| Phone Number | 2089548123 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 7517870918 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130007 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| 130013 | SAINT ALPHONSUS MEDICAL CENTER - NAMPA |
| 130014 | WEST VALLEY MEDICAL CENTER |
| 381315 | ST. ALPHONSUS MEDICAL CENTER - BAKER CITY |
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3325 Pocahontas Rd, Baker City, OR 97814-1464 | 5415238137 | GEM STATE RADIOLOGY LLP |
| 1055 N Curtis Rd, Boise, ID 83706-1309 | 2083672161 | GEM STATE RADIOLOGY LLP |
| 6200 W Emerald St, Boise, ID 83704-8730 | 2083673336 | GEM STATE RADIOLOGY LLP |
| 927 W Myrtle St, Boise, ID 83702-7061 | 2089548011 | INTERMOUNTAIN MEDICAL IMAGING LLC |
| 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2084553730 | GEM STATE RADIOLOGY LLP |
| 323 E Riverside Dr, Suite 108, Eagle, ID 83616-6865 | 2089548123 | INTERMOUNTAIN MEDICAL IMAGING LLC |
| 4400 E Flamingo Ave, Nampa, ID 83687-9203 | 2082884620 | GEM STATE RADIOLOGY LLP |
| 351 Sw 9th St, Ontario, OR 97914-2639 | 5418817120 | GEM STATE RADIOLOGY LLP |
| Organization Legal Name | INTERMOUNTAIN MEDICAL IMAGING LLC |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher R Kauffman | Diagnostic Radiology | Intermountain Medical Imaging LLC | 927 W Myrtle St, Boise, ID 83702-7061 |
| Loreli S Smith | Diagnostic Radiology | Intermountain Medical Imaging LLC | 2929 E Magic View Dr, Meridian, ID 83642-3560 |
| Jeffrey T Seabourn | Diagnostic Radiology | Intermountain Medical Imaging LLC | 323 E Riverside Dr, Suite 108, Eagle, ID 83616-6865 |
| John A Jackson | Diagnostic Radiology | Intermountain Medical Imaging LLC | 323 E Riverside Dr, Suite 108, Eagle, ID 83616-6865 |
| William L Taylor | Diagnostic Radiology | Intermountain Medical Imaging LLC | 323 E Riverside Dr, Suite 108, Eagle, ID 83616-6865 |
| Bertram J Stemmler | Diagnostic Radiology | Intermountain Medical Imaging LLC | 323 E Riverside Dr, Suite 108, Eagle, ID 83616-6865 |
| Dallas D Peck | Diagnostic Radiology | Intermountain Medical Imaging LLC | 323 E Riverside Dr, Suite 108, Eagle, ID 83616-6865 |
| Matthew D Pond | Diagnostic Radiology | Intermountain Medical Imaging LLC | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Lisa M Scales | Diagnostic Radiology | Intermountain Medical Imaging LLC | 323 E Riverside Dr, Suite 108, Eagle, ID 83616-6865 |
| Howard B Schaff | Diagnostic Radiology | Intermountain Medical Imaging LLC | 323 E Riverside Dr, Suite 108, Eagle, ID 83616-6865 |
| Street Address |
323 E RIVERSIDE DR SUITE 108 |
| City | EAGLE |
| State | ID |
| Zip | 83616-6865 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy J Lamers | Family Medicine | Saint Alphonsus Regional Medical Center Inc | 323 E Riverside Dr, Suite 224, Eagle, ID 83616-6865 |
| Joel C Swanson | Internal Medicine | Saint Alphonsus Regional Medical Center Inc | 323 E Riverside Dr, Suite 224, Eagle, ID 83616-6865 |
| Jeffrey T Seabourn | Diagnostic Radiology | Intermountain Medical Imaging LLC | 323 E Riverside Dr, Suite 108, Eagle, ID 83616-6865 |
| John A Jackson | Diagnostic Radiology | Intermountain Medical Imaging LLC | 323 E Riverside Dr, Suite 108, Eagle, ID 83616-6865 |
| William L Taylor | Diagnostic Radiology | Intermountain Medical Imaging LLC | 323 E Riverside Dr, Suite 108, Eagle, ID 83616-6865 |
| Bertram J Stemmler | Diagnostic Radiology | Intermountain Medical Imaging LLC | 323 E Riverside Dr, Suite 108, Eagle, ID 83616-6865 |
| Carl B Kapadia | Interventional Cardiology | Saint Alphonsus Regional Medical Center Inc | 323 E Riverside Dr, Suite 224, Eagle, ID 83616-6865 |
| Gabriel Garrett Guerrero | Dermatology | 323 E Riverside Dr, Suite 234, Eagle, ID 83616-6865 | |
| Dallas D Peck | Diagnostic Radiology | Intermountain Medical Imaging LLC | 323 E Riverside Dr, Suite 108, Eagle, ID 83616-6865 |
| Amber M Kirtley Perez | Physician Assistant | Saint Alphonsus Regional Medical Center Inc | 323 E Riverside Dr, Suite 224, Eagle, ID 83616-6865 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn H Nord | Chiropractic | 5337 W State St, Eagle, ID 83616-4313 | |
| Kari L Green | Physical Therapy | Therapeutic Associates Inc | 12 N Fisher Park Way, Suite 100, Eagle, ID 83616-4704 |
| Nicole L Barnes | Physical Therapy | Therapeutic Associates Inc | 12 N Fisher Park Way, Suite 100, Eagle, ID 83616-4704 |
| Mark L Moss | Physical Therapy | Therapeutic Associates Inc | 12 N Fisher Park Way, Suite 100, Eagle, ID 83616-4704 |
| Allison Andrews Boldridge | Physical Therapy | Caring Edge Op LLC | 77 N Fisher Park Way, Eagle, ID 83616-4796 |
| Ryan D Huber | Optometry | Ryan D. Huber, O.d., P.a. | 27 N Fisher Park Way, Eagle, ID 83616-4796 |
| Cassandre Lynn Moore | Clinical Social Worker | Caring Edge Op LLC | 77 N Fisher Park Way, Eagle, ID 83616-4796 |
| Jared W Simonson | Physical Therapy | Caring Edge Op LLC | 77 N Fisher Park Way, Eagle, ID 83616-4796 |
| Danielle Marie Wallner | Qualified Speech Language Pathologist | Caring Edge Op LLC | 77 N Fisher Park Way, Eagle, ID 83616-4796 |
| Alan Glen Neighbors | Clinical Social Worker | Caring Edge Op LLC | 77 N Fisher Park Way, Eagle, ID 83616-4796 |
| Find all physicians in zip 83616 | |||
| City | EAGLE |
| Zip Code | 83616 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | EAGLE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Carolyn E Coffman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.