SAGE DIAGNOSTICS & IMAGING (NPI# 1316128036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316128036 |
| Entity Type | Organization |
| Organization Name | SAGE DIAGNOSTICS & IMAGING |
| Practice Address |
3875 E Overland Rd Meridian ID 83642-9005 |
| Practice Telephone | 2082876588 |
| Practice Fax Number | 2088983950 |
| Mailing Telephone | 2082876588 |
| Mailing Fax Number | 2088983950 |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2007-11-21 |
| Authorized Official Name | DR. TIMOTHY J JOHANS (PRESIDENT/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2083673500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
ID | Ambulatory Health Care Facilities |
| Street Address |
3875 E OVERLAND RD |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-9005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568443158 | Paul Calvin Collins | Orthopaedic Surgery | 3875 E Overland Rd, Meridian, ID 83642-9005 | 2005-11-10 |
| 1417335860 | St Alphonsus Regional Medical Center Inc | Clinic/Center | 3875 E Overland Rd, Meridian, ID 83642 | 2015-05-18 |
| 1366849572 | Exodus Pain Clinic | Pain Medicine | 3875 E Overland Rd, Suite 200, Meridian, ID 83642-9005 | 2014-12-03 |
| 1891048773 | Amy Kathryn Thompson | Physical Therapist | 3875 E Overland Rd, Meridian, ID 83642-9005 | 2012-10-17 |
| 1508187428 | Kristi J. Mcmahan | Physical Therapist | 3875 E Overland Rd, Meridian, ID 83642-9005 | 2010-06-15 |
| 1275721912 | Les Bois Neurology Chartered | Specialist | 3875 E Overland Rd, Meridian, ID 83642-9005 | 2007-10-09 |
| 1396945069 | James H Morland, Md | Physical Medicine & Rehabilitation | 3875 E Overland Rd, Suite 200, Meridian, ID 83642-9005 | 2007-07-20 |
| 1922201615 | Heidi T Orme | Psychiatry & Neurology | 3875 E Overland Rd, Meridian, ID 83642-9005 | 2007-06-08 |
| 1235166885 | James Michael Herrold | Psychiatry & Neurology | 3875 E Overland Rd, Suite 201, Meridian, ID 83642-9005 | 2006-06-27 |
| 1215975164 | James H Morland | Physical Medicine & Rehabilitation | 3875 E Overland Rd, Suite 200, Meridian, ID 83642-9005 | 2006-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902848591 | Standup Mri of Boise, LLC | Clinic/Center | 2082 S Eagle Rd, Meridian, ID 83642-6707 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588966147 | Orthopedic Surgery and Sports | Clinic/Center | 850 W Ironwood Dr Ste B101, Coeur D Alene, ID 83814-4903 | 2010-12-02 |
| 1477789253 | Bp Consulting, Inc | Clinic/Center | 3450 N Plantation River Dr, Boise, ID 83703-3002 | 2009-06-06 |
| 1265425029 | North Idaho Mri | Clinic/Center | 825 W Ironwood Dr, Coeur D Alene, ID 83814-2673 | 2005-08-26 |
| 1609879634 | Open Mri of Boise, L.lc. | Clinic/Center | 7979 W Rifleman St, Ste 100, Boise, ID 83704-9066 | 2005-05-23 |
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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.