HAYDEN O JACK M.D. NPI 1093795338

NPI Details

Hayden O Jack, M.D. is a diagnostic radiology radiology in Fort Worth, TX with 31 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Hayden O Jack, M.D. NPI is 1093795338. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1995

The provider's business location address is:

815 PENNSYLVANIA AVE
FORT WORTH, TX
ZIP 76104-224
Phone: (817) 321-0387
Fax: (469) 522-6889

The NPI 1093795338 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 (HCPCS:71045)
• X-ray of abdomen, 1 view (HCPCS:74018)
• Ct scan head or brain without contrast (HCPCS:70450)
• X-ray of foot, minimum of 3 views (HCPCS:73630)
• X-ray of knee, 3 views (HCPCS:73562)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• X-ray of chest, 2 views (HCPCS:71046)
• Ct scan of upper spine without contrast (HCPCS:72125)
• X-ray of lower leg, 2 views (HCPCS:73590)
• X-ray of thigh bone, minimum 2 views (HCPCS:73552)
• X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
• X-ray of hand, minimum of 3 views (HCPCS:73130)
• Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
• X-ray of ankle, minimum of 3 views (HCPCS:73610)
• X-ray of knee, 1-2 views (HCPCS:73560)
• X-ray of hip, 2-3 views (HCPCS:73502)
• X-ray of pelvis, 1-2 views (HCPCS:72170)
• Ct scan of chest with contrast (HCPCS:71260)
• X-ray of knee, 4 or more views (HCPCS:73564)
• X-ray of wrist, minimum of 3 views (HCPCS:73110)
• Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
• X-ray of forearm, 2 views (HCPCS:73090)
• Ct scan of face without contrast (HCPCS:70486)
• X-ray of elbow, 2 views (HCPCS:73070)

The enumeration date for this NPI number is 1/20/2006 and was last updated on 4/28/2017.

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:

Other Identifiers

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