NPI age
11 years
Enumerated 2014-06-09
● Active
Type 1 · Individual
Cory Spicer, M.D.
Spicer is 1 of 24 radiology providers in Idaho Falls and 1 of 248 in Idaho.
Primary specialty
Radiology
Plus 4 subspecialties
Licensed in
ID, AZ, MT, WY
4 states
Status
Active
No deactivations on record
Last NPPES update
2020-05-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 248 active radiology providers in Idaho.
NPI age
11 years
↓ 8 yr below median (19 yr)
State licenses
4 states
Top 76% — 23% of peers are multi-state
Subspecialties
1
In the 33% of peers with subspecialties
NPI lifetime · 2014 → 2026
2014-06Enumerated in NPPES
2014
2026
Where they practice
Practice location
2265 E Sunnyside Rd
Idaho Falls, ID 834047598
Mailing address
Po Box 2671
Idaho Falls, ID 834032671
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1501 N Campbell Ave Rm 1355
Tucson, AZ 857245067
Specialties
-
Radiology PrimaryA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
-
Internal MedicineA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1932512811 |
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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