HERITAGE RADIOLOGY, PC – NPI #1730230210
Radiology

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

Health Care Provider Taxonomy Code for Radiology

HERITAGE RADIOLOGY, PC is a radiologist located in JASPER, TN. NPPES has assigned the NPI number 1730230210 to HERITAGE RADIOLOGY, PC on January 13, 2007. 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 previously updated about 6 years ago on Aug 22, 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 HERITAGE RADIOLOGY, PC below.

NPI Profile for
HERITAGE RADIOLOGY, PC

NPI Number
1730230210
Enumeration Date

(more than 19 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
HERITAGE RADIOLOGY, PC
Primary location
1000 HIGHWAY 28
GRANDVIEW MEDICAL CENTER
JASPER, TN 37347-3638
Phone: (423) 837-3423 Fax:
Mailing address
195 MYERS AVE
P.O. BOX 128
GUILD, TN 37340-3099
Phone: (423) 942-1674 Fax:
Organization Subpart
No
Authorized Official
MIRIAM WILLIS
SECRETARY
Phone: (423) 942-1674
Updated
Identifiers

Identifiers for HERITAGE RADIOLOGY, PC

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
MEDICAIDTN3729274
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.