DR. JONATHAN STIDHAM M.D. NPI 1215372073

NPI Information

NPI: 1215372073
Provider Name: DR. JONATHAN STIDHAM, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: NORTHEAST IMAGING PC

PECOS Registration: Yes

Address:
1007 GOODYEAR AVE
GADSDEN, AL
ZIP 35903
Phone: (334) 284-5211
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DR. Jonathan Stidham, M.D. is a diagnostic radiology radiology in Gadsden, AL with 11 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jonathan Stidham, M.D. NPI is 1215372073. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1007 GOODYEAR AVE
GADSDEN, AL
ZIP 35903-195
Phone: (334) 284-5211

The NPI 1215372073 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 enumeration date for this NPI number is 5/7/2013 and was last updated on 7/12/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	MD.36365	ALABAMA	Yes

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

NPI Synchronization or Removal

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