GASTON RADIOLOGY PA – NPI #1356324487
Radiology

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

GASTON RADIOLOGY PA is a radiologist located in GASTONIA, NC. NPPES has assigned the NPI number 1356324487 to GASTON RADIOLOGY PA on November 22, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 last updated on Jun 14, 2024. 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 GASTON RADIOLOGY PA below.

NPI Profile for
GASTON RADIOLOGY PA

NPI Number
1356324487
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
GASTON RADIOLOGY PA
Primary location
620 SUMMIT CROSSING PL
STE 106
GASTONIA, NC 28054-2176
Phone: (704) 867-8021 Fax: (704) 864-4606
Mailing address
PO BOX 745431
ATLANTA, GA 30374-5431
Phone: (843) 449-5360 Fax: (706) 653-4711
Organization Subpart
No
Authorized Official
ERIC JAX
CHIEF OPERATING OFFICER
Phone: (704) 867-8021
Updated
Certification Date
Jun 14, 2024

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 GASTON RADIOLOGY PA

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.

See identifiers
DescriptionIssuerStateIdentifier
otherAETNA HMO0067971
otherAETNA PPO8381530
otherBLUE CROSS BLUE SHIELD NC01618
otherPARTNERS1702
otherRAILROAD MEDICARECC8346
medicaidNC8901618
medicaidSCE01618
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.