NPIMap

Organization Active NPI

Paradox Inc

  • Diagnostic Radiology Physician
  • Jennings, LA
National Provider Identifier
1578699138
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD.201213 Issued in LA
Legal business name
PARADOX INC
Practice address
107 E Shankland Ave
Jennings, LA 70546-4709
Phone
(866) 546-6643
Fax
(337) 824-8726
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Dr. Jonathan Ingram, M.D.
Title
President
Phone
(866) 546-6643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X MD.201213 LA Primary

Addresses

Primary practice location

107 E Shankland Ave
Jennings, LA 70546-4709

Mailing address

107 E Shankland Ave
Jennings, LA 70546-4709
Phone (866) 546-6643

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1578699138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E SHANKLAND AVE",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464709",
            "telephone_number": "866-546-6643",
            "fax_number": "337-824-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E SHANKLAND AVE",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464709",
            "telephone_number": "866-546-6643",
            "fax_number": "337-824-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADOX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-546-6643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "MD.201213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jennings, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.