Active NPI
Jack Lowdon, M.D.
- Diagnostic Radiology Physician
- Virginia Beach, VA
National Provider Identifier
1639348980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101038657
- Practice address
- 1821 Old Donation Pkwy
Suite 9
Virginia Beach, VA 23454-3033 - Phone
- (757) 481-1175
- Fax
- (757) 481-5081
- NPI assigned
- Feb 20, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 0101038657 | VA | Primary |
Addresses
Primary practice location
1821 Old Donation Pkwy
Suite 9
Virginia Beach, VA 23454-3033
Mailing address
1821 Old Donation Pkwy
Suite 9
Virginia Beach, VA 23454-3033
Phone (757) 481-1175
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Beach Radiology PC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Virginia Beach, VA
- NPI 1487605358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1639348980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 OLD DONATION PKWY",
"address_2": "SUITE 9",
"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 9",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234543033",
"telephone_number": "757-481-1175",
"fax_number": "757-481-5081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWDON",
"first_name": "JACK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-20",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101038657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.