DR. ANDREW LAURENCE RIVARD MD NPI 1780645028

NPI Information

NPI: 1780645028
Provider Name: DR. ANDREW LAURENCE RIVARD, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
2500 STATE STREET
UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
JACKSON, MS
ZIP 39216
Phone: (601) 984-1000
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DR. Andrew Laurence Rivard, MD is a diagnostic radiology radiology in Jackson, MS. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Andrew Laurence Rivard, MD NPI is 1780645028. 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:

2500 STATE STREET
UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
JACKSON, MS
ZIP 39216
Phone: (601) 984-1000

The enumeration date for this NPI number is 3/28/2006 and was last updated on 3/11/2014.

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	45475	MINNESOTA	No
2	2085R0202X	Radiology	Diagnostic Radiology	21193	MISSISSIPPI	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	Other Provider Identifier Issuer
1	302I306884	MEDICARE PIN	MISSISSIPPI
2	P01167582	OTHER	MISSISSIPPI	RAILROAD MEDICARE
3	302I305639	MEDICARE PIN	MISSISSIPPI
4	333217YWZ1	MEDICARE PIN	MISSISSIPPI

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: 4/28/2024

NPI Synchronization or Removal

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