Individual provider Active NPI

O. Alan Jared III, MD

  • Diagnostic Radiology Physician
  • Boynton Beach, FL
National Provider Identifier
1396933297
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME0020153 Issued in FL
Practice address
2815 S Seacrest Blvd
Attention: Betsy Cox
Boynton Beach, FL 33435-7934
Phone
(561) 736-1200
Fax
(561) 742-1919
NPI assigned
Oct 5, 2007
Last updated
Oct 5, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME0020153 FL Primary

Addresses

Primary practice location

2815 S Seacrest Blvd
Attention: Betsy Cox
Boynton Beach, FL 33435-7934

Mailing address

200 Knuth Rd
Suite 200
Boynton Beach, FL 33436-4629
Phone (561) 736-1200

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0020153FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Health Comprehensive Imaging Services, Inc. Past Accepting new patients
Bethesda-CT Scan Associates Inc Diagnostic Radiology PastSince Jul 1, 2003 Accepting new patients
Bethesda Health Outpatient Services, Inc. Past Accepting new patients
Bethesda Radiology Associates PA Diagnostic Radiology Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1396933297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 KNUTH RD",
            "address_2": "SUITE 200",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364629",
            "telephone_number": "561-736-1200",
            "fax_number": "561-742-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S SEACREST BLVD",
            "address_2": "ATTENTION: BETSY COX",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357934",
            "telephone_number": "561-736-1200",
            "fax_number": "561-742-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARED",
        "first_name": "O.",
        "middle_name": "ALAN",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME0020153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.