DJ MARC CARDINAL, MD PA
NPI 1053493809
Radiology - Diagnostic Radiology in Blackfoot, ID

Active since October 20, 2006
98 POPLAR ST, BLACKFOOT, ID 83221(208) 785-3810 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dj Marc Cardinal, Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DJ MARC CARDINAL, MD PA (NPI 1053493809) is a healthcare organization registered as a diagnostic radiology in Blackfoot, Idaho and active in the NPI registry since October 2006. The organization lists Dj Marc Cardinal, President, as its authorized official.

NPPES Registry Identity

NPI1053493809
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameDJ MARC CARDINAL, MD PA
Location Address98 POPLAR STBlackfoot, ID 83221-1758
Mailing AddressPo Box 2896Idaho Falls, ID 83403-2896 · (208) 523-4906 · Fax (208) 523-2025
Organization SubpartNo
Authorized OfficialDj Marc CardinalPresident · (208) 785-3810
Enumeration DateOctober 20, 2006
Last NPPES UpdateOctober 20, 2011
NPI 1053493809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

98 POPLAR ST, Blackfoot, ID 83221

Other Identifiers 3

Medicare PIN1374836ID
Medicaid806651100ID
OtherDG2308Railroad Medicare Group

Group Practice 1

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Surgical)
98 POPLAR ST
BLACKFOOT, ID 83221
Podiatrist (Foot & Ankle Surgery)
98 POPLAR ST
BLACKFOOT, ID 83221
Pharmacist
98 POPLAR ST
BLACKFOOT, ID 83221
Nurse Practitioner (Family)
98 POPLAR ST
BLACKFOOT, ID 83221
Internal Medicine (Endocrinology, Diabetes & Metabolism)
98 POPLAR ST
BLACKFOOT, ID 83221
Nurse Practitioner (Family)
98 POPLAR ST
BLACKFOOT, ID 83221
Counselor
98 POPLAR ST, THIRD FLOOR
BLACKFOOT, ID 83221
Physician Assistant (Medical)
98 POPLAR ST
BLACKFOOT, ID 83221

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dj Marc Cardinal, MD PA's NPI number?

The NPI number for Dj Marc Cardinal, MD PA is 1053493809. It was assigned to this organization in the NPPES registry on October 20, 2006.

Where is Dj Marc Cardinal, MD PA located?

Dj Marc Cardinal, MD PA is located at 98 Poplar St, Blackfoot, ID 83221. The listed phone number is (208) 785-3810.

What is Dj Marc Cardinal, MD PA's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Dj Marc Cardinal, MD PA was last updated on October 20, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.