| Jerome Puryear Jr, MD | |
|
3535 Southern Blvd, Kettering, OH 45429-1221 | |
| (937) 296-7202 | |
| Not Available |
| Full Name | Jerome Puryear Jr |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 28 Years |
| Location | 3535 Southern Blvd, Kettering, Ohio |
| 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 |
|---|---|---|---|
| 1255381000 | NPI | - | NPPES |
| 2621274 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35087047 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
| Ascension St Vincent Hospital | Indianapolis, IN | Hospital |
| Orange Park Medical Center | Orange park, FL | Hospital |
| Memorial Hospital Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Imaging Associates Of Indiana Pc | 1254503345 | 171 |
| Radiology Alliance Pc | 1850280470 | 301 |
| Empire State Radiology P C | 4385075241 | 246 |
| Northside Radiology Associates Llc | 4486555398 | 256 |
| Pikeville Medical Center Inc | 6709790157 | 384 |
| Mori Bean And Brooks Inc | 8820077878 | 617 |
| Northside Radiology Associates Llc | 4486555398 | 256 |
| Empire State Radiology P C | 4385075241 | 246 |
| Multicare Health System | 7719899897 | 1815 |
| Virtual Radiologic Professionals Llc | 4981608817 | 394 |
| Entity Name | Digestive Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770556532 PECOS PAC ID: 2062300809 Enrollment ID: O20040304001069 |
| Entity Name | Columbus Radiology Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669408159 PECOS PAC ID: 6507754983 Enrollment ID: O20040308000742 |
| Entity Name | Kettering Network Radiologists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346299153 PECOS PAC ID: 7618960303 Enrollment ID: O20040407001016 |
| Entity Name | Radiology Alliance Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861478489 PECOS PAC ID: 1850280470 Enrollment ID: O20131114000817 |
| Entity Name | Coastal Radiology Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144270307 PECOS PAC ID: 8224002696 Enrollment ID: O20150529002412 |
| Entity Name | Renaissance Imaging Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487608931 PECOS PAC ID: 7315841756 Enrollment ID: O20161212000942 |
| Entity Name | Imaging Associates Of Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699072611 PECOS PAC ID: 1254503345 Enrollment ID: O20170922002737 |
| Entity Name | Singleton Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20170928002002 |
| Entity Name | Imaging Associates Of New Mexico Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629592464 PECOS PAC ID: 4981970233 Enrollment ID: O20180202001936 |
| Entity Name | Imaging Associates Of Michigan Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164943007 PECOS PAC ID: 9537434386 Enrollment ID: O20180206001816 |
| Entity Name | Specialists In Medical Imaging Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841687951 PECOS PAC ID: 2163733544 Enrollment ID: O20180726000714 |
| Entity Name | Louisville Radiology Imaging Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639115447 PECOS PAC ID: 2264436120 Enrollment ID: O20190312003110 |
| Entity Name | Radiology Associates Of Southwest Louisiana |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033215710 PECOS PAC ID: 0941243562 Enrollment ID: O20200323002032 |
| Entity Name | Mori Bean And Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20200610001970 |
| Entity Name | Sonoran Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033745708 PECOS PAC ID: 3375964505 Enrollment ID: O20200706002814 |
| Entity Name | Northside Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013960657 PECOS PAC ID: 4486555398 Enrollment ID: O20200831003069 |
| Entity Name | Empire State Radiology P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255962783 PECOS PAC ID: 4385075241 Enrollment ID: O20200929001309 |
| Entity Name | Golden State Imaging Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144872052 PECOS PAC ID: 1254761315 Enrollment ID: O20201007000950 |
| Entity Name | Radiology Affiliates Of Central New Jersey Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811994791 PECOS PAC ID: 1759277239 Enrollment ID: O20210712004099 |
| Entity Name | Murfreesboro Radiology & Nuclear Medicine Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316043524 PECOS PAC ID: 7719964063 Enrollment ID: O20231004001749 |
| Entity Name | Pikeville Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568249217 PECOS PAC ID: 6709790157 Enrollment ID: O20231005001121 |
| Entity Name | Jefferson Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396795951 PECOS PAC ID: 8729982525 Enrollment ID: O20250410002608 |
| Entity Name | Connecticut Imaging Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740315761 PECOS PAC ID: 4183649098 Enrollment ID: O20250428001343 |
| Entity Name | Farmington Imaging Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275987802 PECOS PAC ID: 7719265651 Enrollment ID: O20250428003399 |
| Entity Name | Tic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457702813 PECOS PAC ID: 4880972819 Enrollment ID: O20250603001537 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerome Puryear Jr, MD Box 713083, Columbus, OH 43271-3083 Ph: (614) 430-5707 | Jerome Puryear Jr, MD 3535 Southern Blvd, Kettering, OH 45429-1221 Ph: (937) 296-7202 |
Michael Caccamo, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 540 Lincoln Park Blvd, Ste 130, Kettering, OH 45429 Phone: 937-297-6306 Fax: 937-299-6300 | |
Luke Miller Lewis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8646 Fax: 937-522-8100 | |
Jeffery L Nielson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1563 E Dorothy Ln, Kettering, OH 45429 Phone: 937-296-2853 | |
John K Bidwell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-296-7202 | |
Richard A Mckenzie, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-296-7202 | |
William F Richards, M.D., PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 101, Kettering, OH 45429 Phone: 937-395-8646 Fax: 937-281-3812 | |
Donald Marger, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2632 Woodman Center Ct, Kettering, OH 45420 Phone: 937-293-2273 |