RADIAL FIRST CARDIOVASCULAR ASSOCIATES, LLC


Address: 2001 S Woodruff Ave, Suite 3, Idaho Falls, ID 83404-6371
Phone: 2085233050

RADIAL FIRST CARDIOVASCULAR ASSOCIATES, LLC (NPI# 1730563909) 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) 1730563909
Entity Type Organization
Organization Name RADIAL FIRST CARDIOVASCULAR ASSOCIATES, LLC
Practice Address 2001 S Woodruff Ave
Suite 3
Idaho Falls
ID 83404-6371
Practice Telephone 2085233050
Practice Fax Number 2085234985
Mailing Telephone 2085233050
Mailing Fax Number 2085234985
Enumeration Date 2015-07-16
Last Update Date 2015-08-10
Authorized Official Name DR. JOHN E LASSETTER (MEDICAL DIRECTOR)
Authorized Official Telephone 4803187757
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
M11673 ID Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NPI 1477578300 01
ID M11673 05

Office Location

Street Address 2001 S WOODRUFF AVE
SUITE 3
City IDAHO FALLS
State ID
Zip Code 83404-6371

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902809221 James L. Richards Surgery 2001 S Woodruff Ave, Ste 3, Idaho Falls, ID 83404-6371 2005-05-31
1568912962 Quest Diagnostics Clinical Laboratories Inc Clinical Medical Laboratory 2001 S Woodruff Ave, Suite 7, Idaho Falls, ID 83404-6374 2016-10-10
1780043042 Teton Obstetrics and Gynecology Pa Obstetrics & Gynecology 2001 S Woodruff Ave, Suite 10, Idaho Falls, ID 83404-6374 2016-02-15
1609263482 Chad Steven Dahle Spec/Tech, Cardiovascular 2001 S Woodruff Ave, Suite 12 B, Idaho Falls, ID 83404-6374 2015-04-20
1225314677 Janae Lynn Dye Respiratory Therapist, Certified 2001 S Woodruff Ave, Idaho Falls, ID 83404-6374 2011-10-31
1366747594 Will G Stewart Respiratory Therapist, Registered 2001 S Woodruff Ave, Suite 12b, Idaho Falls, ID 83404-6374 2011-01-19
1043546260 Ihc Health Services Inc Internal Medicine 2001 S Woodruff Ave, #12, Idaho Falls, ID 83404-6374 2009-10-22
1609008614 Blake A. Stragier Technician, Cardiology 2001 S Woodruff Ave, Suite 12 B, Idaho Falls, ID 83404-6374 2009-08-10
1770712762 Brandy Skaar Respiratory Therapist, Registered 2001 S Woodruff Ave, Suite 12 B, Idaho Falls, ID 83404-6374 2009-07-10
1790943132 William Nick Denson Obstetrics & Gynecology 2001 S Woodruff Ave, Suite 10, Idaho Falls, ID 83404-6374 2008-05-31
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

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)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942771043 Physician's Choice Cardiology, Pllc Internal Medicine 3302 Valencia, Suite 201, Idaho Falls, ID 83404 2018-12-16
1346713302 Radial First Holdings Internal Medicine 2001 S Woodruff Ave Ste 12b, Idaho Falls, ID 83404-6372 2019-01-02
1952670523 Teton Cardiology PC Internal Medicine 3200 Channing Way, Ste A201, Idaho Falls, ID 83404-7546 2011-12-27

Providers in the same taxonomy and state

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
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City IDAHO FALLS
Zip Code 83404

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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.

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