| Jayson A Lord, MD | |
|
314 N Lake Dr, Lantana, FL 33462-2960 | |
| (813) 322-3800 | |
| (813) 322-3837 |
| Full Name | Jayson A Lord |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 31 Years |
| Location | 314 N Lake Dr, Lantana, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285625046 | NPI | - | NPPES |
| 256879902 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME72864 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spinecare Associates, Llc | 5496649493 | 11 |
| University Diagnostic Institute Winter Park Pllc | 5991607871 | 11 |
| Entity Name | University Diagnostic Institute Winter Park Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417917253 PECOS PAC ID: 5991607871 Enrollment ID: O20040122000010 |
| Entity Name | Spinecare Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184695694 PECOS PAC ID: 5496649493 Enrollment ID: O20040211000179 |
| Entity Name | Simonmed Imaging Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477830818 PECOS PAC ID: 6608036108 Enrollment ID: O20120320000846 |
| Entity Name | Vymed Diagnostic Imaging Tampa Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770579732 PECOS PAC ID: 8426006834 Enrollment ID: O20120507000682 |
| Entity Name | Professional Radiology Associates, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962521294 PECOS PAC ID: 1153585047 Enrollment ID: O20120605000338 |
| Entity Name | Smi Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20181120002282 |
| Mailing Address | Practice Location Address |
|---|---|
| Jayson A Lord, MD 314 N Lake Dr, Lantana, FL 33462-2960 Ph: (813) 322-3800 | Jayson A Lord, MD 314 N Lake Dr, Lantana, FL 33462-2960 Ph: (813) 322-3800 |