NPIMap

Organization Active NPI

Radial First Holdings

Doing business as Radial First Heart Clinic

  • Interventional Cardiology Physician
  • Idaho Falls, ID
National Provider Identifier
1346713302
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
RADIAL FIRST HOLDINGS
Doing business as
Radial First Heart Clinic
Practice address
2001 S Woodruff Ave Ste 20
Idaho Falls, ID 83404-6373
Phone
(208) 523-3050
NPI assigned
Jan 2, 2019
Last updated
Apr 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Authorized official

Name
John E Lassetter, MD
Title
Owner/Provider
Phone
(208) 523-3050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

2001 S Woodruff Ave Ste 20
Idaho Falls, ID 83404-6373

Mailing address

PO Box 2386
Idaho Falls, ID 83403-2386
Phone (208) 523-3050

Other identifiers 1

IdentifierTypeStateIssuer
M11673OtherIDIDAHO LICENSE

Other names 1

  • Radial First Heart Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2194 Snake River Pkwy
Ste 202
Idaho Falls, ID 83402
Phone (208) 710-8066

3302 Valencia Dr
Ste 102
Idaho Falls, ID 83404

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1346713302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2386",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834032386",
            "telephone_number": "208-523-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S WOODRUFF AVE STE 20",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046373",
            "telephone_number": "208-523-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIAL FIRST HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "LASSETTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "208-523-3050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO LICENSE",
            "identifier": "M11673",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radial First Heart Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.