Active NPI
O. Alan Jared III, MD
- Diagnostic Radiology Physician
- Boynton Beach, FL
National Provider Identifier
1396933297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME0020153
- 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, 2007
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME0020153 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethesda Health Comprehensive Imaging Services, Inc. | Past | Accepting new patients | |
| Bethesda-CT Scan Associates Inc | Diagnostic Radiology | Past | 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.
-
- Radiology Clinic/Center
- Boynton Beach, FL
- NPI 1205840071
-
dba Bethesda Health Urgent Care
- Urgent Care Clinic/Center
- Wellington, FL
- NPI 1386199974
-
- Diagnostic Radiology Physician
- Boynton Beach, FL
- NPI 1528033164
-
- Diagnostic Radiology Physician
- Boynton Beach, FL
- NPI 1376588731
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.