INTERVASC AT BAY RADIOLOGY, LLC – NPI #1942495916
Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Health Care Provider Taxonomy Code for Radiology

INTERVASC AT BAY RADIOLOGY, LLC is a radiologist located in PANAMA CITY, FL. NPPES has assigned the NPI number 1942495916 to INTERVASC AT BAY RADIOLOGY, LLC on September 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology

The NPI profile was previously updated about 12 years ago on Aug 18, 2014. 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 INTERVASC AT BAY RADIOLOGY, LLC below.

NPI Profile for
INTERVASC AT BAY RADIOLOGY, LLC

NPI Number
1942495916
Enumeration Date

(about 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
INTERVASC AT BAY RADIOLOGY, LLC
Primary location
527 N. PALO ALTO AVE.
PANAMA CITY, FL 32401-3639
Phone: (850) 873-3990 Fax: (850) 873-3974
Mailing address
PO BOX 1770
PANAMA CITY, FL 32402-1770
Phone: (850) 747-4905 Fax: (850) 747-4907
Organization Subpart
Yes - INTERVASC AT BAY RADIOLOGY, LLC is subpart of another organization.
Authorized Official
LLOYD LOGUE
CEO
Phone: (850) 747-4905
Updated
Identifiers

Identifiers for INTERVASC AT BAY RADIOLOGY, LLC

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
OTHERBCBSFL98028
MEDICAIDFL279907300
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
2085R0204X
- Radiology / Vascular & Interventional 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.