JAY A HAROLDS MD NPI 1720081649

NPI Information

NPI: 1720081649
Provider Name: JAY A HAROLDS, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 363-7339
Get Directions

Jay A Harolds, MD is a diagnostic radiology radiology in Grand Rapids, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jay A Harolds, MD NPI is 1720081649. 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:

3264 N EVERGREEN DR NE
GRAND RAPIDS, MI
ZIP 49525-746
Phone: (616) 363-7339
Fax: (616) 361-5828

The enumeration date for this NPI number is 5/24/2005 and was last updated on 10/6/2010.

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
1	2085R0202X	Radiology	Diagnostic Radiology	12562	OKLAHOMA	No
2	2085R0202X	Radiology	Diagnostic Radiology	4301097371	MICHIGAN	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	E64494	MEDICARE UPIN	OKLAHOMA
2	242419511	MEDICARE ID-TYPE UNSPECIFIED	OKLAHOMA
3	2RADIA006	MEDICARE ID-TYPE UNSPECIFIED	OKLAHOMA
4	100009180A	MEDICAID	OKLAHOMA
5	244421005	MEDICARE ID-TYPE UNSPECIFIED	OKLAHOMA
6	MDLPL006	MEDICARE ID-TYPE UNSPECIFIED	OKLAHOMA

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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