Active NPI
Jason T Rexroad, M.D.
- Diagnostic Radiology Physician
- Machias, ME
National Provider Identifier
1275552127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 33324
- Practice address
- 11 Hospital Dr
Machias, ME 04654-3325 - Phone
- (207) 255-3356
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 33324 | SC | Primary |
Addresses
Primary practice location
11 Hospital Dr
Machias, ME 04654-3325
Mailing address
11 Hospital Dr
Machias, ME 04654-3325
Phone (207) 255-3356
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD4488 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33324 | SC | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380067200000",
"number": "1275552127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 HOSPITAL DR",
"city": "MACHIAS",
"state": "ME",
"postal_code": "046543325",
"telephone_number": "207-255-3356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 HOSPITAL DR",
"city": "MACHIAS",
"state": "ME",
"postal_code": "046543325",
"telephone_number": "207-255-3356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REXROAD",
"first_name": "JASON",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2013-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "33324",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD4488",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Machias, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.