Idaho Vascular Institute PLLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

IDAHO VASCULAR INSTITUTE PLLC

Practice address

4400 E Flamingo Ave
Nampa, ID 83687-9203

Phone

(208) 288-4620

NPI assigned

Jul 1, 2006

Last updated

Aug 26, 2007By 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

Dr. Daniel Wegner, M.D.

Title

Member

Phone

(208) 288-4620

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Dirk E. Bigler, D.O.

  • Diagnostic Radiology Physician
  • Idaho Falls, ID
  • NPI 1457304776
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188086400000",
    "number": "1629007844",
    "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": "208-472-8116",
            "fax_number": "208-344-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 E FLAMINGO AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836879203",
            "telephone_number": "208-288-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO VASCULAR INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-08-26",
        "status": "A",
        "authorized_official_last_name": "WEGNER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "208-288-4620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idaho Sleep Services, LLC (Idaho Sleep Health)
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• Idaho Therapy Source
• Idaho Urology Clinic, P.a.
• Idahodhwbh3 Nampa CMH PSR
• Ian Clint Idayan, PT
• Ideal Mental Health, LLC
• Jacalyn R Iliff, PHARMD
• James M Ineck, PHARMD

• Vascular & Interventional Radiology Physician in Nampa, ID
• Providers in Nampa, ID by specialty
• Vascular & Interventional Radiology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2007; 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.