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PHOENIX RADIOLOGY, PLLC
NPI 1164493334
Radiology - Vascular & Interventional Radiology in Lewiston, ID

Active since January 27, 2006
415 6TH ST, LEWISTON, ID 83501(208) 799-5335 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Phoenix Radiology, Pllc NPPES

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

PHOENIX RADIOLOGY, PLLC (NPI 1164493334) is a healthcare organization registered as a vascular & interventional radiology in Lewiston, Idaho and active in the NPI registry since January 2006. The organization lists Mark W Peterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1164493334
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NamePHOENIX RADIOLOGY, PLLC
Location Address415 6TH STLewiston, ID 83501-2431
Mailing Address531 4th AveLewiston, ID 83501-2450 · (208) 743-4393 · Fax (208) 743-4214
Phone(208) 799-5335
Organization SubpartNo
Authorized OfficialMark W PetersonOwner · (208) 743-4393
Enumeration DateJanuary 27, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1164493334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition

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

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
415 6TH ST, Lewiston, ID 83501
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Other Identifiers 5

OtherDC3860Railroad Medicare
Other0192979WA · Labor & Industries
Other000010148406ID · Regence Bs Of Idaho
Other8J679ID · Blue Cross Of Idaho
Medicaid7124605WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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.

DR. KIM JANET WILSON MD
Pathology (Anatomic Pathology & Clinical Pathology)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 746-0516
MARK A TERRY MD
Radiology (Radiological Physics)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-5335
DR. MICHAEL ROONEY M.D.
Internal Medicine (Medical Oncology)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 743-2511
VALLEY ANESTHESIA, P.A.
Anesthesiology
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 743-2511
LAENNEC INPATIENT SERVICES
Internal Medicine
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-5522
DR. JEFFREY CARL BICKEL M.D
Radiology (Body Imaging)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-5335
PAMELA DENISE BROOKS CRNFA
Registered Nurse (Registered Nurse First Assistant)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-5400
DR. THOMAS STEPHENSON HOLMES M.D.
Psychiatry & Neurology (Psychiatry)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 743-2511

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 Phoenix Radiology, PLLC's NPI number?

The NPI number for Phoenix Radiology, PLLC is 1164493334. It was assigned to this organization in the NPPES registry on January 27, 2006.

Where is Phoenix Radiology, PLLC located?

Phoenix Radiology, PLLC is located at 415 6th St, Lewiston, ID 83501. The listed phone number is (208) 799-5335.

What is Phoenix Radiology, PLLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

When was this NPI record last updated?

The NPPES record for Phoenix Radiology, PLLC was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.