Roderick Jack Willmore (NPI# 1346538253, PAC ID# 5597997379) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1346538253 |
| PAC ID by PECOS | 5597997379 |
| Professional Enrollment ID | I20170602000855 |
| Full Name | Roderick Jack Willmore |
| Organization Legal Name | MEDICAL IMAGING ASSOC OF IDAHO FALLS PA |
| Address |
2221 Elm St Rawlins WY 82301-5108 |
| Phone Number | 3073248381 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 7618876590 |
| Number of Group Practice Members | 53 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130018 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
| 130065 | MOUNTAIN VIEW HOSPITAL |
| 130028 | PORTNEUF MEDICAL CENTER |
| 131305 | STEELE MEMORIAL MEDICAL CENTER |
| 131314 | SHOSHONE 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 |
| 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2085296111 | MEDICAL IMAGING ASSOC OF IDAHO FALLS PA |
| 310 Sansome St, Philipsburg, MT 59858 | 4068593271 | MEDICAL IMAGING ASSOC OF IDAHO FALLS PA |
| 777 Hospital Way, Pocatello, ID 83201-5175 | 2082391000 | MEDICAL IMAGING ASSOC OF IDAHO FALLS PA |
| 2221 Elm St, Rawlins, WY 82301-5108 | 3073248381 | MEDICAL IMAGING ASSOC OF IDAHO FALLS PA |
| 2221 Elm St, Rawlins, WY 82301-5108 | 3073242221 | MEMORIAL HOSPITAL OF CARBON COUNTY |
| 425 E 4th, Rexburg, ID 83440-5390 | 2083564888 | TETON RADIOLOGY MADISON LLC |
| 1208 6th Ave, Superior, MT 59872-9618 | 4068224841 | MEDICAL IMAGING ASSOC OF IDAHO FALLS PA |
| Organization Legal Name | MEDICAL IMAGING ASSOC OF IDAHO FALLS PA |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Artur S Narkiewicz-jodko | Diagnostic Radiology | Medical Imaging Assoc of Idaho Falls Pa | 901 Adams St, Afton, WY 83110-9621 |
| Brett Scott Talbot | Diagnostic Radiology | Medical Imaging Assoc of Idaho Falls Pa | 310 Sansome St, Philipsburg, MT 59858 |
| Bao C Nguyen | Diagnostic Radiology | Medical Imaging Assoc of Idaho Falls Pa | 1039 Meon Forest Cir, Longmont, CO 80504-7007 |
| Lorin C Bachman | Diagnostic Radiology | Medical Imaging Assoc of Idaho Falls Pa | 777 Hospital Way, Pocatello, ID 83201-5175 |
| Justin A Lamb | Diagnostic Radiology | Medical Imaging Assoc of Idaho Falls Pa | 2221 Elm St, Rawlins, WY 82301-5108 |
| George H Stephens | Diagnostic Radiology | Medical Imaging Assoc of Idaho Falls Pa | 777 Hospital Way, Pocatello, ID 83201-5175 |
| Stephen R Preece | Diagnostic Radiology | Medical Imaging Assoc of Idaho Falls Pa | 310 Sansome St, Philipsburg, MT 59858 |
| Richard Whiting Bentley | Diagnostic Radiology | Medical Imaging Assoc of Idaho Falls Pa | 800 W Platinum St, Unit D, Butte, MT 59701-2200 |
| Street Address |
2221 ELM ST |
| City | RAWLINS |
| State | WY |
| Zip | 82301-5108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Ross Taylor | Certified Registered Nurse Anesthetist (crna) | Memorial Hospital of Carbon County | 2221 Elm St, Rawlins, WY 82301-5108 |
| Andrew Roberts | Family Medicine | Rural Physicians Group Pannu Pllc | 2221 Elm St, Rawlins, WY 82301-5108 |
| Joseph C Skinner Jr. | Certified Registered Nurse Anesthetist (crna) | Memorial Hospital of Carbon County | 2221 Elm St, Rawlins, WY 82301-5108 |
| Justin A Lamb | Diagnostic Radiology | Medical Imaging Assoc of Idaho Falls Pa | 2221 Elm St, Rawlins, WY 82301-5108 |
| John C Lumb | General Surgery | Memorial Hospital of Carbon County | 2221 Elm St, Rawlins, WY 82301-5108 |
| Michael W France | Family Medicine | Memorial Hospital of Carbon County | 2221 Elm St, Rawlins, WY 82301-5108 |
| Matthew Sprague Rice | Family Medicine | Rural Physicians Group Pannu Pllc | 2221 Elm St, Rawlins, WY 82301-5108 |
| Kevin Livingston | Family Medicine | Rural Physicians Group Pannu Pllc | 2221 Elm St, Rawlins, WY 82301-5108 |
| Stephen Roy Parden | General Surgery | Memorial Hospital of Carbon County | 2221 Elm St, Rawlins, WY 82301-5108 |
| Charles Cunningham | Obstetrics/gynecology | Memorial Hospital of Carbon County | 2221 Elm St, Rawlins, WY 82301-5108 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret Ruth Lake | Nurse Practitioner | Memorial Hospital of Carbon County | 1016 Nw Spruce, Rawlins, WY 82301-0460 |
| Shandra L Shepard | Nurse Practitioner | 1800 Edinburgh St, Rawlins, WY 82301-4506 | |
| Duane E Abels | Emergency Medicine | Memorial Hospital of Carbon County | 2221 Elm St, Rawlins, WY 82301-5108 |
| Denise Christine Kelley | Family Practice | Memorial Hospital of Carbon County | 2221 Elm St, Rawlins, WY 82301-5108 |
| David R Cesko | Family Practice | Memorial Hospital of Carbon County | 2221 Elm St, Rawlins, WY 82301-5108 |
| Palur V Sridharan | General Surgery | Memorial Hospital of Carbon County | 2012 Elm St, Rawlins, WY 82301-5164 |
| Matthew R Green | Dermatology | Central Wyoming Skin Clinic PC | 1101 W Spruce St, Rawlins, WY 82301-5211 |
| Scott Bennion | Dermatology | Central Wyoming Skin Clinic PC | 1101 W Spruce St, Rawlins, WY 82301-5211 |
| Brandon N Bennion | Nurse Practitioner | Central Wyoming Skin Clinic PC | 1101 W Spruce St, Rawlins, WY 82301-5211 |
| Myriah Warren | Physical Therapy | Fremont Therapy Group LLC | 1102 W Spruce St, Rawlins, WY 82301-5335 |
| Find all physicians in zip 82301 | |||
| City | RAWLINS |
| Zip Code | 82301 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | RAWLINS + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Roderick Jack Willmore.
| 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.