Jonathan Michael Mccrea in South Bend - Diagnostic Radiology
Jonathan Michael Mccrea - NPI 1700048923
Jonathan Michael Mccrea is a Diagnostic Radiology in South Bend, Indiana. Jonathan Michael Mccrea practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jonathan Michael Mccrea is 1700048923. The last update date is 2014-11-26.
Jonathan Michael Mccrea's current location address is 121 S Saint Louis Blvd, South Bend, Indiana. You can contact this provider via phone number 5742333123 and fax number 5742333125. The mailing address for Jonathan Michael Mccrea is 121 S Saint Louis Blvd, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Michael Mccrea |
|---|---|
| Address | 121 S Saint Louis Blvd, South Bend, Indiana |
| Phone Number | 5742333123 |
| Fax Number | 5742333125 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1700048923 |
|---|---|
| Provider Enumeration Date | 2008-06-29 |
| Last Updated Date | 2014-11-26 |
Provider Mailing Address Detail
| Address | 121 S Saint Louis Blvd |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466172924 |
| Phone Number | 5742333123 |
| Fax Number | 5742333125 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 01072365A |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201155790 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jonathan Michael Mccrea by the Centers for Medicare & Medicaid Services?
The Jonathan Michael Mccrea has been assigned the NPI (National Provider Identifier) 1700048923. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jonathan Michael Mccrea is located?
The Jonathan Michael Mccrea is situated at the following address: 121 S Saint Louis Blvd, South Bend, IN, 466172924.
What is Jonathan Michael Mccrea's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jonathan Michael Mccrea's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.
When was the Jonathan Michael Mccrea's 1700048923 issued?
The Jonathan Michael Mccrea's 1700048923 was issued on 2008-06-29.
When was the information regarding Jonathan Michael Mccrea most recently updated?
The details pertaining to the Jonathan Michael Mccrea, including its address, specialty, and other relevant information, were last refreshed on 2014-11-26.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI