DR. ANDREW LAURENCE RIVARD MD NPI 1780645028

NPI Information

  • NPI: 1780645028
  • Provider Name: DR. ANDREW LAURENCE RIVARD, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2500 STATE STREET
    UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
    JACKSON, MS
    ZIP 39216
  • Phone: (601) 984-1000

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NPI Details

DR. Andrew Laurence Rivard, MD is a diagnostic radiology radiology in Jackson, MS with 25 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Andrew Laurence Rivard, MD NPI is 1780645028. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:2000

The provider's business location address is:

2500 STATE STREET
UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
JACKSON, MS
ZIP 39216
Phone: (601) 984-1000

The NPI 1780645028 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 3/28/2006 and was last updated on 3/11/2014.

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 Radiology45475MINNESOTANo
22085R0202XRadiologyDiagnostic Radiology21193MISSISSIPPIYes

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
1302I306884MEDICARE PINMISSISSIPPI
2P01167582OTHERMISSISSIPPIRAILROAD MEDICARE
3302I305639MEDICARE PINMISSISSIPPI
4333217YWZ1MEDICARE PINMISSISSIPPI

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: 3/30/2025

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