BIDH-PLYMOUTH RADIOLOGY – NPI #1124562483
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

BIDH-PLYMOUTH RADIOLOGY is a radiologist located in PLYMOUTH, MA. NPPES has assigned the NPI number 1124562483 to BIDH-PLYMOUTH RADIOLOGY on December 06, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BIDH-PLYMOUTH RADIOLOGY” is a dba name, the actual legal business name for this organization is JORDAN PHYSICIAN ASSOCIATES, INC.. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 6 years ago on Feb 19, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BIDH-PLYMOUTH RADIOLOGY below.

NPI Profile for
JORDAN PHYSICIAN ASSOCIATES, INC.

NPI Number
1124562483
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JORDAN PHYSICIAN ASSOCIATES, INC.
Doing Business As (dba): BIDH-PLYMOUTH RADIOLOGY
Primary location
275 SANDWICH ST
PLYMOUTH, MA 02360-2183
Phone: (508) 830-2401 Fax: (508) 830-1131
1 Other location(s):
45 Resnik Rd
Plymouth, MA 02360-4844
Phone: (508) 830-2401
Fax: (508) 830-1131
Mailing address
Same as primary location
Organization Subpart
Yes - BIDH-PLYMOUTH RADIOLOGY is subpart of another organization.
Authorized Official
CATHERINE GREY
CREDENTIALING SPECIALIST
Phone: (508) 830-2401
Updated
Certification Date
Feb 19, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BIDH-PLYMOUTH RADIOLOGY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMA110072193W
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.