RADIAL FIRST HOLDINGS (NPI# 1346713302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346713302 |
| Entity Type | Organization |
| Organization Name | RADIAL FIRST HOLDINGS |
| Other Organization Name | RADIAL FIRST HEART CLINIC |
| Practice Address |
2001 S Woodruff Ave Ste 12b Idaho Falls ID 83404-6372 |
| Mailing Address |
Po Box 2386 Idaho Falls ID 83403-2386 |
| Practice Telephone | 2085233050 |
| Mailing Telephone | 2085233050 |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-04-17 |
| Authorized Official Name | JOHN E LASSETTER (OWNER/PROVIDER) |
| Authorized Official Telephone | 2085233050 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | IDAHO LICENSE | M11673 | 01 |
| Other Name | Type Code |
|---|---|
| Radial First Heart Clinic | Doing Business As Name - Organization |
| Street Address |
2001 S WOODRUFF AVE STE 12B |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-6372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205274677 | Leah Caroline Godsey | Spec/Tech, Cardiovascular | 2001 S Woodruff Ave Ste 12b, Idaho Falls, ID 83404-6372 | 2013-06-07 |
| 1528628567 | Brandee Simpson | Nurse Practitioner | 2001 S Woodruff Ave Ste 12b, Idaho Falls, ID 83404-6372 | 2019-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1730563909 | Radial First Cardiovascular Associates, LLC | Internal Medicine | 2001 S Woodruff Ave, Suite 3, Idaho Falls, ID 83404-6371 | 2015-07-16 |
| 1952670523 | Teton Cardiology PC | Internal Medicine | 3200 Channing Way, Ste A201, Idaho Falls, ID 83404-7546 | 2011-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730688748 | Cardiac Cin of Boise LLC | Internal Medicine | 800 W Main St Ste 1460-10, Boise, ID 83702-5945 | 2018-02-05 |
| 1144544644 | Jeffrey J Heslop | Internal Medicine | 6140 W Curtsian, Ste 200, Boise, ID 83704 | 2010-03-26 |
| 1063674505 | Joseph Aloysius Walsh IIi | Internal Medicine | 6140 W Curtisian Ave Ste 100, Boise, ID 83704 | 2008-06-26 |
| 1093972564 | St Patrick Hosp and Health Sci Ctr | Internal Medicine | 203 S. Daisy St, Salmon, ID 83467-4343 | 2008-05-21 |
| 1932153137 | Charles E Eiriksson Jr. | Internal Medicine | 300 E Jeffreson, Ste 101, Boise, ID 83712 | 2006-05-20 |
| 1902197866 | Robert Wynn Tonks | Internal Medicine | 775 Pole Line Rd W Ste 112, Twin Falls, ID 83301-5819 | 2011-04-27 |
| 1104972983 | Mercy Physician Group Inc. | Internal Medicine | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2007-01-26 |
| 1568540714 | Nathan E Green | Internal Medicine | 3525 E Louise Dr, Ste 400, Meridian, ID 83642-6302 | 2006-11-02 |
| 1518994367 | Marshall F Priest | Internal Medicine | 3525 E Louise Dr, Suite 400, Meridian, ID 83642-6351 | 2006-06-27 |
| 1558301515 | Mark G Parent | Internal Medicine | 6140 W Curtisian, Ste 200, Boise, ID 83704 | 2006-06-07 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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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.