CONCORD IMAGING – NPI #1255370813
Radiology

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

Health Care Provider Taxonomy Code for Radiology

CONCORD IMAGING is a radiologist located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1255370813 to CONCORD IMAGING on June 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CONCORD IMAGING” is a dba name, the actual legal business name for this organization is JEREMY NYLE WIERSIG MD PA. 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 14 years ago on Mar 12, 2012. 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 CONCORD IMAGING below.

NPI Profile for
JEREMY NYLE WIERSIG MD PA

NPI Number
1255370813
Enumeration Date

(more than 20 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
JEREMY NYLE WIERSIG MD PA
Doing Business As (dba): CONCORD IMAGING
Primary location
18802 MEISNER DR
SAN ANTONIO, TX 78258
Phone: (210) 572-2222 Fax: (210) 249-2177
Mailing address
PO BOX 1888
GREENVILLE, TX 75403
Phone: (800) 945-2455 Fax: (903) 453-2541
Organization Subpart
No
Authorized Official
JEREMY WIERSIG
OWNER
Phone: (210) 572-2222
Updated
Identifiers

Identifiers for CONCORD IMAGING

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
MEDICAIDTX174822001
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.