MERCY FITZGERALD HOSPITAL OUTPATIENT – NPI #1154424026
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

MERCY FITZGERALD HOSPITAL OUTPATIENT is a radiologic technologist located in DARBY, PA. NPPES has assigned the NPI number 1154424026 to MERCY FITZGERALD HOSPITAL OUTPATIENT on September 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MERCY FITZGERALD HOSPITAL OUTPATIENT” is a dba name, the actual legal business name for this organization is EASTWICK RADIOLOGY ASSOCS.. The primary taxonomy selected by this provider is 247100000X from the Health Care Provider Taxonomy code set, which is classified as Radiologic Technologist.

The NPI profile was previously updated about 17 years ago on Nov 05, 2009. 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 MERCY FITZGERALD HOSPITAL OUTPATIENT below.

NPI Profile for
EASTWICK RADIOLOGY ASSOCS.

NPI Number
1154424026
Enumeration Date

(about 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
EASTWICK RADIOLOGY ASSOCS.
Doing Business As (dba): MERCY FITZGERALD HOSPITAL OUTPATIENT
Primary location
501 SOUTH 54TH STREET
MERCY FITZGERALD OUTPATIENT CENTER
DARBY, PA 19023
Phone: (610) 237-2525 Fax:
Mailing address
501 SOUTH 54TH ST.
DARBY, PA 19023-1330
Phone: (610) 237-2525 Fax:
Organization Subpart
Yes - MERCY FITZGERALD HOSPITAL OUTPATIENT is subpart of another organization.
Authorized Official
JOSEPH BRADLEY
CFO
Phone: (610) 567-6771
Updated
Identifiers

Identifiers for MERCY FITZGERALD HOSPITAL OUTPATIENT

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
OTHERMEDICARE ID TYPE UNSPECIFIEDPA39S156
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
247100000X
- Radiologic Technologist (Primary)
PA

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.