Active NPI
Sawtooth Diagnostic Imaging PLLC
- Vascular & Interventional Radiology Physician
- Ketchum, ID
National Provider Identifier
1396792305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- SAWTOOTH DIAGNOSTIC IMAGING PLLC
- Practice address
- 100 Hospital Dr.
Ketchum, ID 83340 - Phone
- (208) 727-8205
- NPI assigned
- May 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lisa Smith
- Title
- Administrator
- Phone
- (208) 433-9466
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | Primary |
Addresses
Primary practice location
100 Hospital Dr.
Ketchum, ID 83340
Mailing address
PO Box 9649
Boise, ID 83707-4649
Phone (208) 472-8125
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Boise, ID
- NPI 1255367348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1396792305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9649",
"city": "BOISE",
"state": "ID",
"postal_code": "837074649",
"telephone_number": "208-472-8125",
"fax_number": "208-344-1926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOSPITAL DR.",
"city": "KETCHUM",
"state": "ID",
"postal_code": "83340",
"telephone_number": "208-727-8205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAWTOOTH DIAGNOSTIC IMAGING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "208-433-9466",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Neuroradiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ketchum, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.