DR. JERI PETTY IRWIN MD NPI 1639131774

NPI Information

NPI: 1639131774
Provider Name: DR. JERI PETTY IRWIN, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
1108 DUPONT CIR
LOUISVILLE, KY
ZIP 40207
Phone: (502) 897-0139
Get Directions

DR. Jeri Petty Irwin, MD is a diagnostic radiology radiology in Louisville, KY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jeri Petty Irwin, MD NPI is 1639131774. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1108 DUPONT CIR
LOUISVILLE, KY
ZIP 40207-804
Phone: (502) 897-0139

The enumeration date for this NPI number is 4/4/2006 and was last updated on 10/18/2007.

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	19791	KENTUCKY	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	C73110	MEDICARE UPIN	KENTUCKY
2	1065702	MEDICARE PIN	KENTUCKY
3	64197916	MEDICAID	KENTUCKY

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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