Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON BALTAR RODULFA, MD
ActiveDR. JASON BALTAR RODULFA, MD is a Diagnostic Radiology healthcare provider located in COEUR D ALENE, Idaho. NPI 1891102620 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1891102620
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2014 (11.899215365102 yrs)
- Last Updated
- Feb 11, 2026
- Licenses
-
30016 (WV)M-17337 (ID)M-17337 (ID)20293 (NV)
Practice Information
- Address
-
700 W IRONWOOD DR STE 175COEUR D ALENE, ID, 838144401Browse ID providers · Browse ZIP 83814
- Phone
- 2086256300
- Fax
- 2086256301
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Neuroradiology
- Additional Specialty
- Diagnostic Radiology
Other Diagnostic Radiology Providers in COEUR D ALENE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. CASEY JOHN FATZ | MD | 1306847488 |
| KEITH C HEWEL | MD | 1316948409 |
| CARL E LEY | MD | 1659373546 |
| ARNE E MICHALSON | MD | 1538161302 |
| LINDA S MICHALSON | MD | 1730181512 |
| DR. DAVID ERNEST MOODY | MD | 1902808793 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.