DR. JAY FOSTER WIGBOLDY MD NPI 1487636569

NPI Information

NPI: 1487636569
Provider Name: DR. JAY FOSTER WIGBOLDY, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: NORTHWEST RADIOLOGY NETWORK PC

PECOS Registration: Yes

Address:
5901 TECHNOLOGY CENTER DR
INDIANAPOLIS, IN
ZIP 46278
Phone: (317) 972-9669
Get Directions

DR. Jay Foster Wigboldy, MD is a diagnostic radiology radiology in Indianapolis, IN with 27 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jay Foster Wigboldy, MD NPI is 1487636569. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

5901 TECHNOLOGY CENTER DR
INDIANAPOLIS, IN
ZIP 46278-013
Phone: (317) 972-9669
Fax: (317) 715-9990

The NPI 1487636569 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 11/15/2005 and was last updated on 1/27/2022.

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	01079663A	INDIANA	Yes
2	2085R0202X	Radiology	Diagnostic Radiology	34489	KENTUCKY	No

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	300055776	MEDICAID	INDIANA

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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