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Phoenix Radiology, Pllc

Q: What type of organization is Phoenix Radiology, Pllc?

Phoenix Radiology, Pllc is registered in NPPES as a Vascular & Interventional Radiology Physician (its primary provider taxonomy).

Vascular & Interventional Radiology Physician in Lewiston, ID · enumerated 2006 · authorized official Mark Peterson, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164493334

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Registry record

Entity type Organization (Type 2)

Legal business name Phoenix Radiology, Pllc

Practice address 415 6th St, Lewiston, ID, 83501

Phone (208) 799-5335

Enumeration date Jan 27, 2006

Last updated in NPPES Sep 11, 2025

Taxonomy & classification

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Secondary

2085R0204X Vascular & Interventional Radiology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Mark Peterson

Title Owner

Phone (208) 743-4393

Other identifiers

Identifier	Type	State	Issuer
DC3860	Other	-	RAILROAD MEDICARE
0192979	Other	WA	LABOR & INDUSTRIES
000010148406	Other	ID	REGENCE BS OF IDAHO
8J679	Other	ID	BLUE CROSS OF IDAHO
7124605	Medicaid	WA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Phoenix Radiology, Pllc?

Phoenix Radiology, Pllc is registered in NPPES as a Vascular & Interventional Radiology Physician (its primary provider taxonomy).

Providers at this address

Browse all →

Jean Thomas Neurology Physician · Lewiston, ID NPI 1881695534 William Rowe Cardiovascular Disease Physician · Lewiston, ID NPI 1164414595 Mark Keane Neurology Physician · Lewiston, ID NPI 1427044643 Sheila Garvey Surgery Physician · Lewiston, ID NPI 1245227792 Jared Morton Internal Medicine Physician · Lewiston, ID NPI 1972592608 Kenneth Gibbs Interventional Cardiology Physician · Lewiston, ID NPI 1174506455 Natalie Olsen Pharmacist · Lewiston, ID NPI 1215911649 Kim Wilson Anatomic Pathology & Clinical Pathology Physician · Lewiston, ID NPI 1700863024

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.