Milford Diagnostic Imagine PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MILFORD DIAGNOSTIC IMAGINE PA

Practice address

21 W Clarke Ave
Milford, DE 19963-1840

Phone

(610) 459-3113

NPI assigned

Jul 21, 2005

Last updated

Jul 21, 2022By 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

Jeffery Jackerson, M.D.

Title

Head Doctor

Phone

(610) 459-3113

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MILFORD DIAGNOSTIC IMAGING Other name

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.

• Jeffrey I Jackerson, D.O.

  • Diagnostic Radiology Physician
  • Dover, DE
  • NPI 1427038280
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689674533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W CLARKE AVE",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631840",
            "telephone_number": "610-459-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W CLARKE AVE",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631840",
            "telephone_number": "610-459-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILFORD DIAGNOSTIC IMAGINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JACKERSON",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "HEAD DOCTOR",
        "authorized_official_telephone_number": "610-459-3113",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000603202",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILFORD DIAGNOSTIC IMAGING",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Milford Anesthesiologists,PA
• Milford Counseling Associates
• Milford Health Services LLC (Kent Pharmacy)
• Milford Medical Associates, P.a.
• Milford Pharmacy Inc
• Milford Primary Care Associates, LLC
• Milford Pulmonary and Sleep Consultants, LLC

• Diagnostic Radiology Physician in Milford, DE
• Providers in Milford, DE by specialty
• Diagnostic Radiology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.