NPIMap

Individual provider Active NPI

Seth Henry Iverson, MD

  • Diagnostic Radiology Physician
  • Jamestown, NY
National Provider Identifier
1316108152
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2013008089 Issued in MO
Practice address
796 Fairmont Avenue
Jamestown, NY 14702
Phone
(716) 664-9731
Fax
(716) 664-9160
NPI assigned
Jun 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2013008089 MO Primary

Addresses

Primary practice location

796 Fairmont Avenue
Jamestown, NY 14702

Mailing address

PO Box 786
Jamestown, NY 14702-0786
Phone (716) 664-9731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221130002172 UT Practitioner - Diagnostic Radiology 0547401150 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians
Medford Radiological Group PCGroup PAC ID 2062303324, 91 clinicians
Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians

Practice addresses (Care Compare)

1400 N 500
Logan, UT 84341-2455
Phone (435) 716-1000

245 S 1400
Logan, UT 84321-6779
Phone (541) 618-5800

2936 E Ashwood LN
Saint George, UT 84790-2690
Phone (425) 563-1500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Radia Inc P S Diagnostic Radiology CurrentSince Jan 31, 2024 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jul 21, 2024 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Jan 30, 2024 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Jan 30, 2024 Accepting new patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Mar 3, 2024 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Jan 30, 2024 Accepting new patients
Central Washington Health Services Association CurrentSince Apr 1, 2024 Accepting new patients
Medford Radiological Group, PC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 30, 2024 Accepting new patients
Ihc Health Services Inc CurrentSince Jul 21, 2024 Accepting new patients

Locations

1400 N 500 E
North Logan, UT 84341
Phone (435) 716-1000

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

Interoperability endpoints

  • Direct secure messaging: seth.iverson@direct.wyomingmedicalcenter.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1316108152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147020786",
            "telephone_number": "716-664-9731",
            "fax_number": "716-664-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "796 FAIRMONT AVENUE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "14702",
            "telephone_number": "716-664-9731",
            "fax_number": "716-664-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSON",
        "first_name": "SETH",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2013008089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.