DR. JACK MICHAEL PRESTON M.D. NPI 1689644031

NPI Information

  • NPI: 1689644031
  • Provider Name: DR. JACK MICHAEL PRESTON, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 1000 DUTCH RIDGE RD
    BEAVER, PA
    ZIP 15009
  • Phone: (724) 773-4567

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NPI Details

DR. Jack Michael Preston, M.D. is a diagnostic radiology radiology in Beaver, PA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jack Michael Preston, M.D. NPI is 1689644031. 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:

1000 DUTCH RIDGE RD
BEAVER, PA
ZIP 15009-727
Phone: (724) 773-4567
Fax: (724) 728-9729

The enumeration date for this NPI number is 1/26/2006 and was last updated on 4/13/2010.

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
12085R0202XRadiologyDiagnostic RadiologyMD027545EPENNSYLVANIAYes

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
1E73179MEDICARE UPIN
23810003945MEDICAIDWEST VIRGINIA
3300115212MEDICARE PINPENNSYLVANIA
41513817MEDICARE PINPENNSYLVANIA
5PR4115611MEDICARE PINOHIO
6168290FUDMEDICARE PINPENNSYLVANIA
72233292MEDICAIDOHIO
80009554740018MEDICAIDPENNSYLVANIA
9000955474MEDICAIDPENNSYLVANIA

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: 11/21/2025

NPI Synchronization or Removal

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