NPI age
19 years
Enumerated 2006-07-01
● Active Type 2 · Organization
Idaho Vascular Institute Pllc
Idaho Vascular Institute Pllc is 1 of 23 radiology organizations in Idaho.
Primary specialty
Radiology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wegner
Member
Last NPPES update
2007-08-26
Source: monthly bulk 2026-05
How this organization compares
Across 23 active radiology providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
4400 E Flamingo Ave
Nampa, ID 836879203
Mailing address
Po Box 9649
Boise, ID 837074649
Authorized official
Daniel Wegner, M.D.
Member
📞 2082884620
Individual providers at this organization
17 individual providers on file at this primary practice address.
- Charles Anstrand, PA-C Physician Assistant NPI 1427162874
- Stephen Bienz, MD Internal Medicine NPI 1851381834
- Michelle Bjornson, OT Occupational Therapist NPI 1255321246
- Krista Carico, DOCTOR OF PHARMACY Pharmacist NPI 1902441272
- Kathy Dufur, PT ATC Physical Therapist NPI 1265421291
- Charles Frost, PA-C Physician Assistant NPI 1760425730
- Stacy Harmon, OT Occupational Therapist NPI 1831189869
- Rui Liang, DO Student in an Organized Health Care Education/Training Program NPI 1053106708
- Stuart Matson Pharmacist NPI 1083388292
- Warren Miller, M.D. Dermatology NPI 1013906049
- Eleni Mora, DO Student in an Organized Health Care Education/Training Program NPI 1457148843
- Terence Niland, RPH Pharmacist NPI 1629454566
- Matthew Ries, PA-C Physician Assistant NPI 1659880276
- Bethany Taylor-Spillett, PA-C Physician Assistant NPI 1487843322
- Colette Weber, PA Physician Assistant NPI 1922042464
- Jami Whiles, PT Physical Therapist NPI 1558350587
- Kenneth Wilhelm Internal Medicine NPI 1053301416
Specialties
-
Radiology PrimaryA radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Practice context
Multi-provider organization. 17 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.