Active NPI
James Edwin Rasband, M. D.
- Diagnostic Radiology Physician
- Provo, UT
National Provider Identifier
1457688590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 153382-1205
- Practice address
- 3757 Pebble LN
Provo, UT 84604-5267 - Phone
- (801) 224-7903
- NPI assigned
- Nov 11, 2009
- Last updated
- Nov 11, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 153382-1205 | UT | Primary |
Addresses
Primary practice location
3757 Pebble LN
Provo, UT 84604-5267
Mailing address
3757Pebble LN
Provo, UT 84604-5267
Phone (801) 224-7903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153382-1205 | UT | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257897600000",
"number": "1457688590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3757PEBBLE LN",
"city": "PROVO",
"state": "UT",
"postal_code": "846045267",
"telephone_number": "801-224-7903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3757 PEBBLE LN",
"city": "PROVO",
"state": "UT",
"postal_code": "846045267",
"telephone_number": "801-224-7903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASBAND",
"first_name": "JAMES",
"middle_name": "EDWIN",
"credential": "M. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-11",
"last_updated": "2009-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "UT",
"license": "153382-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.