MEDFORD RADIOLOGICAL GROUP PC NPI 1407938111

NPI Information

NPI: 1407938111
Provider Name: MEDFORD RADIOLOGICAL GROUP, PC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
842 E MAIN ST
MEDFORD, OR
ZIP 97504
Phone: (541) 773-2493
Get Directions

MEDFORD RADIOLOGICAL GROUP, PC is a diagnostic radiology radiology in Medford, OR. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MEDFORD RADIOLOGICAL GROUP, PC NPI is 1407938111. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

842 E MAIN ST
MEDFORD, OR
ZIP 97504-134
Phone: (541) 773-2493
Fax: (541) 779-3027

The provider's authorized official is Michael J Troychak .
The authorized official title is President and has the following contact phone number (541) 773-2493.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 7/24/2012.

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			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	R0000WCBCN	MEDICARE PIN	OREGON
2	CO1664	MEDICARE PIN	OREGON
3	109306	MEDICAID	OREGON

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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