Active NPI
Marc Jouandet, MD
- Diagnostic Radiology Physician
- Poughkeepsie, NY
National Provider Identifier
1730180787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 179251
- Practice address
- 695 Dutchess Tpke Ste 105
Poughkeepsie, NY 12603-6443 - Phone
- (888) 647-5979
- Fax
- (888) 847-0818
- NPI assigned
- Aug 2, 2005
- 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 | 179251 | NY | Primary |
Addresses
Primary practice location
695 Dutchess Tpke Ste 105
Poughkeepsie, NY 12603-6443
Mailing address
695 Dutchess Tpke Ste 105
Poughkeepsie, NY 12603-6443
Phone (888) 647-5979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01625534 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| Kern Radiology Medical Group, Inc | Diagnostic Radiology | Past | Accepting new patients |
| Borg Imaging Group LLP | Past | Accepting new patients |
Locations
2501 E Southern Ave
Ste 811
Tempe, AZ 85282
Phone (480) 820-2021
1160 Pittsford Victor Rd
Ste D2
Pittsford, NY 14534
Phone (585) 218-8007
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1962457812
AZ
-
- Diagnostic Radiology Physician
- Palm Desert, CA
- NPI 1568416147
AZ
-
- Specialist
- Rochester, NY
- NPI 1528001385
-
- Diagnostic Radiology Physician
- Bakersfield, CA
- NPI 1720023997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407110400000",
"number": "1730180787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 DUTCHESS TPKE STE 105",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126036443",
"telephone_number": "888-647-5979",
"fax_number": "888-847-0818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 DUTCHESS TPKE STE 105",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126036443",
"telephone_number": "888-647-5979",
"fax_number": "888-847-0818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOUANDET",
"first_name": "MARC",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2014-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "179251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01625534",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.