KATHRYN PEARSON MD NPI 1760403182

NPI Information

NPI: 1760403182
Provider Name: KATHRYN PEARSON, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
6871 BELFORT OAKS PL
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 553-8806
Get Directions

Kathryn Pearson, MD is a diagnostic radiology radiology in Jacksonville, FL with 31 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Kathryn Pearson, MD NPI is 1760403182. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

6871 BELFORT OAKS PL
JACKSONVILLE, FL
ZIP 32216-242
Phone: (904) 553-8806

The NPI 1760403182 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 7/21/2006 and was last updated on 10/7/2023.

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	2085B0100X	Radiology	Body Imaging	ME78129	FLORIDA	No
2	2085N0700X	Radiology	Neuroradiology	ME78129	FLORIDA	No
3	2085N0904X	Radiology	Nuclear Radiology	ME78129	FLORIDA	No
4	2085P0229X	Radiology	Pediatric Radiology	ME78129	FLORIDA	No
5	2085R0204X	Radiology	Vascular & Interventional Radiology	ME78129	FLORIDA	No
6	2085U0001X	Radiology	Diagnostic Ultrasound	ME78129	FLORIDA	No
7	2085R0202X	Radiology	Diagnostic Radiology	ME78129	FLORIDA	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	46485	OTHER	FLORIDA	BCBS
2	00825239A	MEDICAID	FLORIDA
3	256319300	MEDICAID	FLORIDA

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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