Snake River Radiology PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SNAKE RIVER RADIOLOGY PC

Practice address

964 W Idaho Ave
Ontario, OR 97914-2111

Phone

(541) 889-9545

Fax

(541) 889-8376

NPI assigned

Sep 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Janet R Cegnar, MD

Title

Corp Secretary

Phone

(541) 889-9545

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 6

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.

• John Gambino, MD

  • Diagnostic Radiology Physician
  • Ontario, OR
  • NPI 1093773533
  NPD (past)
• Robert T Yeager, MD

  • Diagnostic Radiology Physician
  • Ontario, OR
  • NPI 1578521936
  NPD (past)
• Ionut Claudiu Bugeag, MD

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1851330252
  NPD (past)
• Janet M Cegnar, MD

  • Diagnostic Radiology Physician
  • Boise, ID
  • NPI 1306895016
  NPD (past)
• Amber Layne Kroeger, MS CF SLP

  • Speech-Language Pathologist
  • Meridian, ID
  • NPI 1720639446
  NPD (past)
• Sharon Elizabeth Morrison-Doke, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Eagle, ID
  • NPI 1881723377
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619070208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 W IDAHO AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142111",
            "telephone_number": "541-889-9545",
            "fax_number": "541-889-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 W IDAHO AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142111",
            "telephone_number": "541-889-9545",
            "fax_number": "541-889-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNAKE RIVER RADIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CEGNAR",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CORP SECRETARY",
        "authorized_official_telephone_number": "541-889-9545",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084934",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80408077",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Smallwood
• Laurie J Smith, MHA
• Morris H Smith, MD
• Peter W. Smith, MS
• Snake River Pediatrics
• Brandon Alden Snow, DMD
• Maricela Sotelo
• Southern Idaho Regional Laboratory LLC (Treasure Valley Laboratory)
• Lacie Catherine Spagnola, OD
• Donna Spencer

• Diagnostic Radiology Physician in Ontario, OR
• Providers in Ontario, OR by specialty
• Diagnostic Radiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.