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DR. JACK MICHAEL PRESTON M.D.
NPI 1689644031
Radiology - Diagnostic Radiology in Beaver, PA

Active since January 26, 2006
1000 DUTCH RIDGE RD, BEAVER, PA 15009(724) 773-4567(724) 728-9729 Get Directions Write a Review

NPPES record last updated: April 13, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jack Michael Preston M.d. NPPES

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

DR. JACK MICHAEL PRESTON M.D. (NPI 1689644031) is an individual diagnostic radiology provider in Beaver, Pennsylvania, licensed in Pennsylvania (MD027545E) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1689644031
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JACK MICHAEL PRESTONCredential: M.D.
Location Address1000 DUTCH RIDGE RDBeaver, PA 15009-9727
Mailing Address3572 Brodhead Rd, Suite 201Monaca, PA 15061-3101 · (724) 728-6539 · Fax (724) 728-7416
Phone(724) 773-4567
Fax(724) 728-9729
Sole ProprietorNo
Enumeration DateJanuary 26, 2006
Last NPPES UpdateApril 13, 2010
✔ NPI 1689644031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in PA · MD027545E
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1000 DUTCH RIDGE RD, Beaver, PA 15009
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Other Identifiers 9

Medicare UPINE73179
Medicaid3810003945WV
Medicare PIN300115212PA
Medicare PIN1513817PA
Medicare PINPR4115611OH
Medicare PIN168290FUDPA
Medicaid2233292OH
Medicaid0009554740018PA
Medicaid000955474PA

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.

KATHLEEN MILLER CRNA
Nurse Anesthetist, Certified Registered
1000 DUTCH RIDGE RD
BEAVER, PA 15009
Beaver County (724) 773-4621
DAVID JANSMA M.D.
Family Medicine
1000 DUTCH RIDGE RD
BEAVER, PA 15009
Beaver County (724) 774-0232
MRS. KRISTA CLARK RD, LDN, CDE
Dietitian, Registered
1000 DUTCH RIDGE RD
BEAVER, PA 15009
Beaver County (724) 773-4761
VALLEY MEDICAL FACILITIES, INC.
Clinic/Center (Recovery Care)
1000 DUTCH RIDGE RD
BEAVER, PA 15009
Beaver County (724) 770-7998
YUVAL RYKACZEWSKI DO
Emergency Medicine
1000 DUTCH RIDGE RD
BEAVER, PA 15009
Beaver County (877) 771-4847
PAMELA A MANSELL CRNA
Nurse Anesthetist, Certified Registered
1000 DUTCH RIDGE RD
BEAVER, PA 15009
Beaver County (724) 773-4621
DR. MICHAEL WILLIAM GABRIELE M.D.
Radiology (Diagnostic Radiology)
1000 DUTCH RIDGE RD
BEAVER, PA 15009
Beaver County (724) 773-4567
EDWARD ROBERT VILLELLA II M.D.
Surgery (Vascular Surgery)
1000 DUTCH RIDGE RD
BEAVER, PA 15009
Beaver County (724) 773-8289

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Preston's NPI number?

The NPI number for Jack Preston is 1689644031. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Jack Preston located?

Jack Preston practices at 1000 Dutch Ridge Rd, Beaver, PA 15009. The listed phone number is (724) 773-4567.

What is Jack Preston's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Jack Preston was last updated on April 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.