Active NPI
Arne E Michalson, MD
- Diagnostic Radiology Physician
- Coeur d'Alene, ID
National Provider Identifier
1538161302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- M6791
- Practice address
- 700 W Ironwood Dr
Suite 110
Coeur D Alene, ID 83814-2656 - Phone
- (208) 666-3200
- Fax
- (208) 666-3217
- NPI assigned
- Aug 11, 2005
- Last updated
- Feb 24, 2012
- Sex
- Male
- Sole proprietor
- No
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 | M6791 | ID | Primary |
Addresses
Primary practice location
700 W Ironwood Dr
Suite 110
Coeur D Alene, ID 83814-2656
Mailing address
PO Box 1829
Coeur D Alene, ID 83816-1829
Phone (208) 666-3200
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B1261 | Other | ID | BC ID - PF |
| 1139163 | Other | IL | CIGNA MEDICARE - RANI |
| 804222000 | Medicaid | ID | |
| DM032 | Other | ID | BC ID - RANI |
| DM321 | Other | ID | BC ID - CDA |
| P00093985 | Other | ID | RR MEDICARE - RANI |
| 8218687 | Medicaid | WA | |
| 990009470 | Other | ID | RR MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M6791 | ID | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Imaging | Past | Accepting new patients | |
| North Idaho Imaging Center | Diagnostic Radiology | Past | Accepting new patients |
Interoperability endpoints
- amichalson627554@direct.multicare.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kootenai Outpatient Imaging
- Diagnostic Radiology Physician
- Coeur d'Alene, ID
- NPI 1457353450
-
- Specialist
- Gulfport, MS
- NPI 1205850773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330041600000",
"number": "1538161302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1829",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838161829",
"telephone_number": "208-666-3200",
"fax_number": "208-666-3397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W IRONWOOD DR",
"address_2": "SUITE 110",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142656",
"telephone_number": "208-666-3200",
"fax_number": "208-666-3217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHALSON",
"first_name": "ARNE",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2012-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ID",
"license": "M6791",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC ID - PF",
"identifier": "B1261",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA MEDICARE - RANI",
"identifier": "1139163",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "804222000",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC ID - RANI",
"identifier": "DM032",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC ID - CDA",
"identifier": "DM321",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE - RANI",
"identifier": "P00093985",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8218687",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "990009470",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coeur d'Alene, ID
- Rebecca Marie Meyer, APRN, CNP
- Meza Consulting LLC
- Meza Post Acute and Long Term Care, PLLC
- Meza Post Acute and Long Term Care, PLLC
- Michael G Meza, MD
- Linda S Michalson, MD
- Pablo Fernando Michel Sanchez, M.D.
- Mickelson-Gates Dentistry PLLC (North Idaho Dental Group)
- Chace Derrick Mickelson, D.M.D
- Midlife Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.