Cyle S Goodman (NPI# 1265660443, PAC ID# 9335364603) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1265660443 |
| PAC ID by PECOS | 9335364603 |
| Professional Enrollment ID | I20150909003070 |
| Full Name | Cyle S Goodman |
| Organization Legal Name | GEM STATE RADIOLOGY LLP |
| Address |
3325 Pocahontas Rd Baker City OR 97814-1464 |
| Phone Number | 5415238137 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9335044833 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130007 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| 130013 | SAINT ALPHONSUS MEDICAL CENTER - NAMPA |
| 380052 | SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC |
| 130014 | WEST VALLEY MEDICAL CENTER |
| 381315 | ST. ALPHONSUS MEDICAL CENTER - BAKER CITY |
| Address | Phone | Organization |
|---|---|---|
| 3325 Pocahontas Rd, Baker City, OR 97814-1464 | 5415238137 | GEM STATE RADIOLOGY LLP |
| 1055 N Curtis Rd, Boise, ID 83706-1309 | 2083672161 | GEM STATE RADIOLOGY LLP |
| 927 W Myrtle St, Boise, ID 83702-7061 | 2089548011 | INTERMOUNTAIN MEDICAL IMAGING LLC |
| 927 W Myrtle St, Boise, ID 83702-7061 | 2089470100 | GEM STATE RADIOLOGY LLP |
| 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2084553730 | GEM STATE RADIOLOGY LLP |
| 2929 E Magic View Dr, Meridian, ID 83642-3560 | 2083678222 | GEM STATE RADIOLOGY LLP |
| 4300 E Flamingo Ave, Nampa, ID 83687-3138 | 2082051000 | GEM STATE RADIOLOGY LLP |
| 4400 E Flamingo Ave, Nampa, ID 83687-9203 | 2082884620 | GEM STATE RADIOLOGY LLP |
| Organization Legal Name | GEM STATE RADIOLOGY LLP |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caroline D Sobota | Diagnostic Radiology | Gem State Radiology LLP | 1717 Arlington Ave, Caldwell, ID 83605-4802 |
| Janet M Cegnar | Diagnostic Radiology | Gem State Radiology LLP | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Laurel D Morgan | Nurse Practitioner | Gem State Radiology LLP | 4424 E Flamingo Ave, Suite 230, Nampa, ID 83687-9300 |
| Street Address |
3325 POCAHONTAS RD |
| City | BAKER CITY |
| State | OR |
| Zip | 97814-1464 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan L Braun | Physician Assistant | Saint Alphonsus Medical Center Baker City, Inc. | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Christopher J Liby | General Surgery | Saint Alphonsus Medical Center Baker City, Inc. | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Matthew D Pond | Diagnostic Radiology | Intermountain Medical Imaging LLC | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Jesse Jarnes | Certified Registered Nurse Anesthetist (crna) | Saint Alphonsus Medical Center Baker City, Inc. | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Jon T Weakley | Certified Registered Nurse Anesthetist (crna) | Saint Alphonsus Medical Center Baker City, Inc. | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Janet M Cegnar | Diagnostic Radiology | Gem State Radiology LLP | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Eric T Sandefur | Orthopedic Surgery | Saint Alphonsus Medical Center Baker City, Inc. | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| John H Phillips | Internal Medicine | 3325 Pocahontas Rd, Baker City, OR 97814-1464 | |
| Derek G Zickgraf | Family Medicine | Saint Alphonsus Medical Center Baker City, Inc. | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Logan C Frederickson | Family Medicine | Saint Alphonsus Medical Center Baker City, Inc. | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa D Akin | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 3950 17th St, Baker City, OR 97814-1300 |
| Lauren K Zink | Registered Dietitian Or Nutrition Professional | St Lukes Clinic-treasure Valley LLC | 3950 17th St, Baker City, OR 97814-1300 |
| Laura M Van Duker | Physician Assistant | St Lukes Clinic-treasure Valley LLC | 3950 17th St, Baker City, OR 97814-1300 |
| Dean N Defrees | Family Medicine | St Lukes Clinic-treasure Valley LLC | 3950 17th St, Baker City, OR 97814-1300 |
| Marshall Hiller | Physical Therapy | Robert J Bachman Pt PC Baker Valley Physical Therapy | 3950 17th St, Suite B, Baker City, OR 97814-1300 |
| Jodi K Flanagan | Physical Therapy | Robert J Bachman Pt PC Baker Valley Physical Therapy | 3950 17th St, Suite B, Baker City, OR 97814-1300 |
| Roman J Babij | General Surgery | St Lukes Clinic-treasure Valley LLC | 3950 17th St, Baker City, OR 97814-1300 |
| Korey V Ham | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 3950 17th St, Baker City, OR 97814-1300 |
| Blake Michael Marlia | Physical Therapy | Robert J Bachman Pt PC Baker Valley Physical Therapy | 3950 17th St, Suite B, Baker City, OR 97814-1300 |
| Kristina Stevens Fleming | Physical Therapy | Robert J Bachman Pt PC Baker Valley Physical Therapy | 3950 17th St, Suite B, Baker City, OR 97814-1300 |
| Find all physicians in zip 97814 | |||
| City | BAKER CITY |
| Zip Code | 97814 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BAKER CITY + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Cyle S Goodman.
| 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.