TETON RADIOLOGY DIAGNOSTIC LLC NPI 1013085604
Radiology - Body Imaging in Idaho Falls, ID

About TETON RADIOLOGY DIAGNOSTIC LLC

Teton Radiology Diagnostic Llc is a provider established in Idaho Falls, Idaho operating as a Radiology with a focus in body imaging . The NPI number of Teton Radiology Diagnostic Llc is 1013085604 and was assigned on December 2006. The practitioner's primary taxonomy code is 2085B0100X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Teton Radiology Diagnostic Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Teton Radiology. The authorized official of this NPI record is Mr. Michael P Hodel (General Manager)

NPI
1013085604
Provider NameTETON RADIOLOGY DIAGNOSTIC LLC
Location Address2001 S WOODRUFF AVE STE 17 IDAHO FALLS, ID 83404
Location Phone(208) 524-7237
Mailing AddressPO BOX 2147 IDAHO FALLS, ID 83403
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameTETON RADIOLOGY
Other Name TypeDoing Business As (3)
Enumeration Date12-01-2006
Last Update Date05-14-2015


Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code2085B0100X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationBody Imaging
Taxonomy DescriptionA Radiology doctor of Osteopathy that specializes in Body Imaging.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare
  • Railroad Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

TETON RADIOLOGY DIAGNOSTIC LLC
2001 S WOODRUFF AVE STE 17
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 524-7237

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Mailing Address

TETON RADIOLOGY DIAGNOSTIC LLC
PO BOX 2147
IDAHO FALLS, ID
ZIP 83403
Phone: (208) 523-4906
Fax: (208) 523-2025


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official NameMR. MICHAEL P HODEL
Authorized Official TitleGENERAL MANAGER
Authorized Official Phone(208) 542-5000

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
12085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiologyNo

Taxonomy Description: a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

22085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear RadiologyNo

Taxonomy Description: a radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.

32085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric RadiologyNo

Taxonomy Description: a radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

42085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyNo

Taxonomy Description: a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

52085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyNo

Taxonomy Description: a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

62085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic RadiologyNo

Taxonomy Description: Not Available

72085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyNo

Taxonomy Description: a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

82085R0205XAllopathic & Osteopathic PhysiciansRadiologyRadiological PhysicsNo

Taxonomy Description: a radiological physicist deals with the diagnostic and therapeutic applications of roentgen rays, gamma rays from sealed sources, ultrasonic radiation and radio-frequency radiation, as well as the equipment associated with their production and use, including radiation safety.

92085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundNo

Taxonomy Description: a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
DF6608OTHER (01)RAILROAD MEDICARE
1366420MEDICARE PIN (08)
807617900MEDICAID (05)ID

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013085604
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023081060
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 1 + 0 + 6 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1013085604 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194969725TETON RADIOLOGY DIAGNOSTIC, LLC
Organization
Radiology (Body Imaging)2001 S WOODRUFF AVE STE 17
IDAHO FALLS, ID 83404
(208) 524-7237

Frequently Asked Questions

What is TETON RADIOLOGY DIAGNOSTIC LLC NPI number?

The NPI number assigned to TETON RADIOLOGY DIAGNOSTIC LLC is 1013085604, registered as an "organization" on December 01, 2006

Where is TETON RADIOLOGY DIAGNOSTIC LLC located?

The provider is located at 2001 S Woodruff Ave Ste 17 Idaho Falls, Id 83404 and the phone number is (208) 524-7237

What kind of medical provider is TETON RADIOLOGY DIAGNOSTIC LLC?

This medical organization specializes in Radiology with a focus in Body Imaging

What insurance does TETON RADIOLOGY DIAGNOSTIC LLC accept?

The provider might be accepting Medicaid, Medicare and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

How do I update my NPI information?

The NPI record of TETON RADIOLOGY DIAGNOSTIC LLC was last updated on December 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]