Jackson Radiology Associates Pa in Jackson - Radiation Oncology
Jackson Radiology Associates Pa - NPI 1699700716
Jackson Radiology Associates Pa is a Radiation Oncology in Jackson, Tennessee. Jackson Radiology Associates Pa practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Jackson Radiology Associates Pa is 1699700716. The last update date is 2017-12-26.
Jackson Radiology Associates Pa's current location address is 620 Skyline Dr, Jackson, Tennessee. You can contact this provider via phone number 7315416174 and fax number 7314256274. The mailing address for Jackson Radiology Associates Pa is 620 Skyline Dr, Jackson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Radiology Associates Pa |
|---|---|
| Address | 620 Skyline Dr, Jackson, Tennessee |
| Phone Number | 7315416174 |
| Fax Number | 7314256274 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bruno Gregory |
| Credentials | M.D. |
| Telephone Number | 7315416174 |
NPI Number Detail
| NPI Number | 1699700716 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2017-12-26 |
Provider Mailing Address Detail
| Address | 620 Skyline Dr |
|---|---|
| City | Jackson |
| State | Tennessee (TN) |
| Post Code | 383013901 |
| Phone Number | 7315416174 |
| Fax Number | 7314256274 |
Provider's Primary Taxonomy Detail
| Speciality | Radiation Oncology |
|---|---|
| Taxonomy | 2085R0001X |
|
Definition: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CG710C | HI | PALMETTO HAWAII | |
| CG710B | NEVADA MEDICARE | ||
| 315752 | CO | MEDICARE PIN | |
| DD9799 | RAILROAD MEDICARE | ||
| 3729238 | TN | -- | |
| CG753Z | CA | CALIFORNIA MDCR |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jackson Radiology Associates Pa by the Centers for Medicare & Medicaid Services?
The Jackson Radiology Associates Pa has been assigned the NPI (National Provider Identifier) 1699700716 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Jackson Radiology Associates Pa is located?
The Jackson Radiology Associates Pa is situated at the following address: 620 Skyline Dr, Jackson, TN, 383013901.
What is Jackson Radiology Associates Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jackson Radiology Associates Pa's area of specialization is Radiation Oncology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0001X.
On what date did Jackson Radiology Associates Pa receive its 1699700716 assignment from the Centers for Medicare & Medicaid Services?
The Jackson Radiology Associates Pa was assigned its 1699700716 on 2006-07-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jackson Radiology Associates Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jackson Radiology Associates Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-12-26.