JORDAN PHYSICIAN ASSOCIATES INC. NPI 1124562483

NPI Information

NPI: 1124562483
Provider Name: JORDAN PHYSICIAN ASSOCIATES, INC.

Doing Business As: BIDH-PLYMOUTH RADIOLOGY

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
275 SANDWICH ST
PLYMOUTH, MA
ZIP 02360
Phone: (508) 830-2401
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JORDAN PHYSICIAN ASSOCIATES, INC. is a diagnostic radiology radiology in Plymouth, MA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. JORDAN PHYSICIAN ASSOCIATES, INC. NPI is 1124562483. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bidh-plymouth Radiology.

The provider's business location address is:

275 SANDWICH ST
PLYMOUTH, MA
ZIP 02360-183
Phone: (508) 830-2401
Fax: (508) 830-1131

The provider's authorized official is Catherine J Grey .
The authorized official title is Credentialing Specialist and has the following contact phone number (508) 830-2401.

The enumeration date for this NPI number is 12/6/2016 and was last updated on 2/19/2020.

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	Other Provider Identifier Issuer
1	110072193W	MEDICAID	MASSACHUSETTS

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: 5/5/2024

NPI Synchronization or Removal

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