James P Edlin (NPI# 1346329919, PAC ID# 2365343050) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1346329919 |
| PAC ID by PECOS | 2365343050 |
| Professional Enrollment ID | I20040115001031 |
| Full Name | James P Edlin |
| Organization Legal Name | TETON RADIOLOGY DIAGNOSTIC, LLC |
| Address |
1441 Pkwy Dr Suite 9 Blackfoot ID 83221-1667 |
| Phone Number | 2087852600 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1991 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1254436959 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130018 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
| 131305 | STEELE MEMORIAL MEDICAL CENTER |
| 130025 | MADISON MEMORIAL HOSPITAL |
| 130065 | MOUNTAIN VIEW HOSPITAL |
| 531313 | STAR VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 901 Adams St, Afton, WY 83110-9621 | 3078855877 | MEDICAL IMAGING ASSOC OF IDAHO FALLS PA |
| 1441 Pkwy Dr, Suite 9, Blackfoot, ID 83221-1667 | 2087852600 | TETON RADIOLOGY DIAGNOSTIC, LLC |
| 2001 S Woodruff Ave, Suite 17, Idaho Falls, ID 83404-6372 | 2085247237 | TETON RADIOLOGY DIAGNOSTIC, LLC |
| 2001 S Woodruff Ave, Suite 20, Idaho Falls, ID 83404-6373 | 2085253201 | TETON NUCLEAR MEDICINE SERVICE LLC |
| 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2085296111 | MEDICAL IMAGING ASSOC OF IDAHO FALLS PA |
| 2221 Elm St, Rawlins, WY 82301-5108 | 3073248381 | MEDICAL IMAGING ASSOC OF IDAHO FALLS PA |
| 425 E 4th, Rexburg, ID 83440-5390 | 2083564888 | TETON RADIOLOGY MADISON LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_359_overall | Optimizing Patient Exposure to Ionizing Radiation: Utilization of a Standardized Nomenclature for Computed Tomography (CT) Imaging Description | 100% | |
| MIPS_EC_359_overall | Optimizing Patient Exposure to Ionizing Radiation: Utilization of a Standardized Nomenclature for Computed Tomography (CT) Imaging Description | 100% | |
| MIPS_EC_359_overall | Optimizing Patient Exposure to Ionizing Radiation: Utilization of a Standardized Nomenclature for Computed Tomography (CT) Imaging Description | 100% | |
| MIPS_EC_361_overall | Optimizing Patient Exposure to Ionizing Radiation: Reporting to a Radiation Dose Index Registry | 100% | |
| MIPS_EC_361_overall | Optimizing Patient Exposure to Ionizing Radiation: Reporting to a Radiation Dose Index Registry | 100% | |
| MIPS_EC_361_overall | Optimizing Patient Exposure to Ionizing Radiation: Reporting to a Radiation Dose Index Registry | 100% |
| Organization Legal Name | TETON RADIOLOGY DIAGNOSTIC, LLC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James W Taylor | Diagnostic Radiology | Teton Radiology Diagnostic, LLC | 1441 Pkwy Dr, Suite 9, Blackfoot, ID 83221-1667 |
| Michael Sean Enslow | Diagnostic Radiology | Teton Radiology Diagnostic, LLC | 1441 Pkwy Dr, Suite 9, Blackfoot, ID 83221-1667 |
| David M Cameron | Diagnostic Radiology | Teton Radiology Diagnostic, LLC | 2001 S Woodruff Ave, Suite 17, Idaho Falls, ID 83404-6372 |
| Dirk E Bigler | Diagnostic Radiology | Teton Radiology Diagnostic, LLC | 1441 Pkwy Dr, Suite 9, Blackfoot, ID 83221-1667 |
| Matthew E Williamson | Diagnostic Radiology | Teton Radiology Diagnostic, LLC | 1441 Pkwy Dr, Suite 9, Blackfoot, ID 83221-1667 |
| John J Strobel | Diagnostic Radiology | Teton Radiology Diagnostic, LLC | 2001 S Woodruff Ave, Suite 17, Idaho Falls, ID 83404-6372 |
| James F Schmutz | Diagnostic Radiology | Teton Radiology Diagnostic, LLC | 1441 Pkwy Dr, Suite 9, Blackfoot, ID 83221-1667 |
| David A Behrmann | Diagnostic Radiology | Teton Radiology Diagnostic, LLC | 1441 Pkwy Dr, Suite 9, Blackfoot, ID 83221-1667 |
| Peter L Vance | Diagnostic Radiology | Teton Radiology Diagnostic, LLC | 1441 Pkwy Dr, Suite 9, Blackfoot, ID 83221-1667 |
| James B Harris | Diagnostic Radiology | Teton Radiology Diagnostic, LLC | 1441 Pkwy Dr, Suite 9, Blackfoot, ID 83221-1667 |
| Street Address |
1441 PKWY DR SUITE 9 |
| City | BLACKFOOT |
| State | ID |
| Zip | 83221-1667 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaitlin Bl Vail | Physical Therapy | Rocky Mountain Physical Therapy Pllc | 1441 Pkwy Dr, Suite 1, Blackfoot, ID 83221-1667 |
| James W Taylor | Diagnostic Radiology | Teton Radiology Diagnostic, LLC | 1441 Pkwy Dr, Suite 9, Blackfoot, ID 83221-1667 |
| Heather F Grimmett | Physician Assistant | Mvh Bmc LLC | 1441 Pkwy Dr, Blackfoot, ID 83221-1667 |
| Craig W Allred | Qualified Audiologist | Audiology Services Company Usa LLC | 1441 Pkwy Dr, Blackfoot, ID 83221-1667 |
| Joy H Taylor | Nurse Practitioner | Mvh Bmc LLC | 1441 Pkwy Dr, Blackfoot, ID 83221-1667 |
| Matthew J Fackrell | Family Medicine | Mvh Bmc LLC | 1441 Pkwy Dr, Blackfoot, ID 83221-1667 |
| Gary Soucie | Family Medicine | Mvh Bmc LLC | 1441 Pkwy Dr, Blackfoot, ID 83221-1667 |
| Hyrum Davenport | Nurse Practitioner | Mvh Bmc LLC | 1441 Pkwy Dr, Blackfoot, ID 83221-1667 |
| Michael Sean Enslow | Diagnostic Radiology | Teton Radiology Diagnostic, LLC | 1441 Pkwy Dr, Suite 9, Blackfoot, ID 83221-1667 |
| Brandon S Hawker | Physical Therapy | Rocky Mountain Physical Therapy Pllc | 1441 Pkwy Dr, Suite 1, Blackfoot, ID 83221-1667 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan T Sayre | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Mark L Edlefsen | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Brandon K Pieper | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Zachary D Morrow | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Cory J Sayre | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Shawn M Murray | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Christopher L Wehrli | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Shawn A Wren | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Dee S Stevens | Chiropractic | 725 Jensen Grove Dr, Suite 4, Blackfoot, ID 83221-1636 | |
| Anne M Preston | Clinical Social Worker | Portneuf Valley Family Center, Inc. | 1495 Pkwy Dr C, Blackfoot, ID 83221-1639 |
| Find all physicians in zip 83221 | |||
| City | BLACKFOOT |
| Zip Code | 83221 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BLACKFOOT + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on James P Edlin.
| 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.