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SOUTHERN IDAHO RADIOLOGY PA
NPI 1295771129
Radiology - Diagnostic Radiology in Twin Falls, ID

Active since June 20, 2006
260 FALLS AVE, TWIN FALLS, ID 83301(208) 737-2192 Get Directions Write a Review

NPPES record last updated: July 18, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Idaho Radiology Pa NPPES

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

SOUTHERN IDAHO RADIOLOGY PA (NPI 1295771129) is a healthcare organization registered as a diagnostic radiology in Twin Falls, Idaho and active in the NPI registry since June 2006. The organization lists Robert Wasserstrom, President, as its authorized official.

NPPES Registry Identity

NPI1295771129
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSOUTHERN IDAHO RADIOLOGY PA
Location Address260 FALLS AVETwin Falls, ID 83301-3370
Mailing AddressPo Box 9649Boise, ID 83707-4649 · (208) 472-8102 · Fax (208) 344-1926
Phone(208) 737-2192
Organization SubpartNo
Authorized OfficialRobert WasserstromPresident · (208) 734-1177
Enumeration DateJune 20, 2006
Last NPPES UpdateJuly 18, 2007
✔ NPI 1295771129 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.
260 FALLS AVE, Twin Falls, ID 83301
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Other Identifiers 1

Medicare ID-Type Unspecified1372452ID

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

MARK DONAVON TAYLOR DPT
Physical Therapist
260 FALLS AVE
TWIN FALLS, ID 83301
Twin Falls County (208) 410-9611
MICHAEL E HOLZER M.D.
Radiology (Diagnostic Radiology)
260 FALLS AVE
TWIN FALLS, ID 83301
Twin Falls County (208) 737-2192
JEREMY DAVID WILLES PAC
Physician Assistant
260 FALLS AVE, SUITE C
TWIN FALLS, ID 83301
Twin Falls County (208) 736-7422
EVAN D THOMAS M.D.
Radiology (Diagnostic Radiology)
260 FALLS AVE
TWIN FALLS, ID 83301
Twin Falls County (208) 737-2192
TERRY J BUCCAMBUSO M.D.
Radiology (Diagnostic Radiology)
260 FALLS AVE
TWIN FALLS, ID 83301
Twin Falls County (208) 737-2192
CHAD J NIELSON D.C.
Chiropractor
260 FALLS AVE, SUITE B
TWIN FALLS, ID 83301
Twin Falls County (208) 733-2322
ROBERT WASSERSTROM M.D.
Radiology (Diagnostic Radiology)
260 FALLS AVE
TWIN FALLS, ID 83301
Twin Falls County (208) 737-2192

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 Southern Idaho Radiology PA's NPI number?

The NPI number for Southern Idaho Radiology PA is 1295771129. It was assigned to this organization in the NPPES registry on June 20, 2006.

Where is Southern Idaho Radiology PA located?

Southern Idaho Radiology PA is located at 260 Falls Ave, Twin Falls, ID 83301. The listed phone number is (208) 737-2192.

What is Southern Idaho Radiology 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 Southern Idaho Radiology PA was last updated on July 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.