Provider Type Icon

DR. JEREMY SCOTT CARDINAL MD NPI 1205095460


NPI Information

NPI: 1205095460
Provider Name: DR. JEREMY SCOTT CARDINAL, MD
Classification: Radiology - 2085N0700X
Entity Type: Individual

Specialization: Neuroradiology

Organization: TRA-MINW, PS

PECOS Registration: Yes

Address:
1304 FAWCETT AVE STE 100
TACOMA, WA
ZIP 98402
Phone: (253) 761-4200
Get Directions

DR. Jeremy Scott Cardinal, MD is a neuroradiology radiology in Tacoma, WA with 16 years of experience. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. DR. Jeremy Scott Cardinal, MD NPI is 1205095460. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:2008

The provider's business location address is:

1304 FAWCETT AVE STE 100
TACOMA, WA
ZIP 98402-900
Phone: (253) 761-4200
Fax: (253) 761-4201

The NPI 1205095460 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view, front (HCPCS:71010)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • X-ray of abdomen, single view (HCPCS:74000)
  • CT scan of abdomen and pelvis (HCPCS:74176)
  • CT scan of abdomen and pelvis with contrast (HCPCS:74177)

The enumeration date for this NPI number is 6/3/2008 and was last updated on 5/13/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0700XRadiologyNeuroradiologyMD167073OREGONNo
22085R0202XRadiologyDiagnostic RadiologyMD60453057WASHINGTONNo
32085R0202XRadiologyDiagnostic RadiologyMD167073OREGONNo
42085N0700XRadiologyNeuroradiologyMD60453057WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1500670649MEDICAIDOREGON
20338843OTHERWASHINGTONL&I-TRA REST OF WA
30338848OTHERWASHINGTONL&I-UNION AVE OPEN MRI
42036371MEDICAIDWASHINGTON
50395156OTHERWASHINGTONL&I-DIAGNOSTIC IMAGING NW
60338844OTHERWASHINGTONL&I-TRA KING COUNTY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.