Southern Idaho Radiology PA
NPI 1295771129ActiveOrganization· Radiology, Diagnostic Radiology· Twin Falls, ID
Radiology, Diagnostic Radiology in Twin Falls, Idaho, registered in NPPES in June 2006. The authorized official on file is Robert Wasserstrom, M.D., President.
Overview
| NPI | 1295771129 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 20, 2006 |
| Last updated in NPPES | Jul 18, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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