SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET PHYSICIAN GROUP
NPI 1487960530
Radiology - Vascular & Interventional Radiology in Pottsville, PA

Q: What is Schuylkill Medical Center - South Jackson Street's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Active since August 27, 2010

420 S JACKSON ST, POTTSVILLE, PA 17901(570) 621-5000(570) 622-8221 Get Directions Write a Review

NPPES record last updated: August 27, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Schuylkill Medical Center - South Jackson Street Physician Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET PHYSICIAN GROUP (NPI 1487960530) is a healthcare organization registered as a vascular & interventional radiology in Pottsville, Pennsylvania and active in the NPI registry since August 2010. The organization lists John E Simodejka, President & Chief Exec. Officer, as its authorized official.

NPPES Registry Identity

NPI1487960530

Entity TypeOrganization

Primary Taxonomy2085R0204X

Legal Business NameSCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET

Location Address420 S JACKSON STPottsville, PA 17901-3625

Mailing Address420 S Jackson StPottsville, PA 17901-3625 · (570) 621-5000 · Fax (570) 622-8221

Phone(570) 621-5000

Fax(570) 622-8221

Organization SubpartNo

Authorized OfficialJohn E SimodejkaPresident & Chief Exec. Officer · (610) 621-5111

Enumeration DateAugust 27, 2010

✔ NPI 1487960530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

420 S JACKSON ST, Pottsville, PA 17901

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Other Names 1

Doing Business AsSchuylkill Medical Center - South Jackson Street Physician Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

POTTSVILLE RADIOLOGY ASSOCIATES

Radiology (Diagnostic Radiology)