Loreli S Smith (NPI# 1265478614, PAC ID# 5799782082) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1265478614 |
| PAC ID by PECOS | 5799782082 |
| Professional Enrollment ID | I20061030000361 |
| Full Name | Loreli S Smith |
| Organization Legal Name | INTERMOUNTAIN MEDICAL IMAGING LLC |
| Address |
2929 E Magic View Dr Meridian ID 83642-3560 |
| Phone Number | 2089548127 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 7517870918 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130013 | SAINT ALPHONSUS MEDICAL CENTER - NAMPA |
| 130007 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| 130014 | WEST VALLEY MEDICAL CENTER |
| 380052 | SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC |
| 381315 | ST. ALPHONSUS MEDICAL CENTER - BAKER CITY |
| 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 |
| 2929 E Magic View Dr, Meridian, ID 83642-3560 | 2089548127 | INTERMOUNTAIN MEDICAL IMAGING LLC |
| 2929 E Magic View Dr, Meridian, ID 83642-3560 | 2083678222 | GEM STATE RADIOLOGY LLP |
| 4400 E Flamingo Ave, Nampa, ID 83687-9203 | 2082884620 | GEM STATE RADIOLOGY LLP |
| 351 Sw 9th St, Saint Alphonsus Medical Center Ontario, 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 |
| 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 |
| Vicken Garabedian | Diagnostic Radiology | Intermountain Medical Imaging LLC | 323 E Riverside Dr, Suite 108, Eagle, ID 83616-6865 |
| Street Address |
2929 E MAGIC VIEW DR |
| City | MERIDIAN |
| State | ID |
| Zip | 83642-3560 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Slonaker | Chiropractic | 3329 W Cherry Ln, Meridian, ID 83642-1119 | |
| Katy F Connley | Nurse Practitioner | Saint Alphonsus Regional Medical Center Inc | 3250 W Cherry Ln, Meridian, ID 83642-1120 |
| Diana Menchaca | Psychologist, Clinical | 1711 S Millenium Way, Suite 110, Meridian, ID 83642-1504 | |
| Virginia P Haviland | Psychologist, Clinical | 1711 S Millennium Way, Suite 110, Meridian, ID 83642-1504 | |
| Cheri Thomas | Nurse Practitioner | Alliance Medical Group LLC | 3115 E Florence, Meridian, ID 83642-1586 |
| Angela L Hansen | Clinical Social Worker | 403 W Cherry Ln, Finding The Silver Lining, Meridian, ID 83642-1610 | |
| Matthew L Jordan | Nurse Practitioner | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Dan J Hendrickson | Pulmonary Disease | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Huiling Qi | Internal Medicine | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Robert E Shumaker | Physician Assistant | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Find all physicians in zip 83642 | |||
| City | MERIDIAN |
| Zip Code | 83642 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MERIDIAN + DIAGNOSTIC RADIOLOGY |
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| 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.