Virginia Beach Radiology PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

VIRGINIA BEACH RADIOLOGY PC

Practice address

1821 Old Donation Pkwy
Suite 7
Virginia Beach, VA 23454-3033

Phone

(757) 481-1175

Fax

(757) 481-5081

NPI assigned

May 15, 2006

Last updated

Nov 1, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack Lowdon, MDNPI 1639348980

Title

Owner Physician

Phone

(757) 481-1175

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack Lowdon, M.D.

  • Diagnostic Radiology Physician
  • Virginia Beach, VA
  • NPI 1639348980
  NPD (past) Authorized official

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1487605358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 OLD DONATION PKWY",
            "address_2": "SUITE 7",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543033",
            "telephone_number": "757-481-1175",
            "fax_number": "757-481-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 OLD DONATION PKWY",
            "address_2": "SUITE 7",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543033",
            "telephone_number": "757-481-1175",
            "fax_number": "757-481-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA BEACH RADIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "LOWDON",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "757-481-1175",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7263295",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Virginia Beach Smile Mission PLLC
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• Virginia Beach Surgery Center
• Virginia Beach Surgery, LTD
• Virginia Beach Urological Associates LTD

• Diagnostic Radiology Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Diagnostic Radiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.