JAY A HAROLDS MD
NPI 1720081649
Radiology - Diagnostic Radiology in Grand Rapids, MI

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

Active since May 24, 2005

3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525(616) 363-7339(616) 361-5828 Get Directions Write a Review

NPPES record last updated: October 6, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jay A Harolds Md NPPES

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

JAY A HAROLDS MD (NPI 1720081649) is an individual diagnostic radiology provider in Grand Rapids, Michigan, licensed in Michigan (4301097371) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1720081649

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameJAY A HAROLDSCredential: MD

Location Address3264 N EVERGREEN DR NEGrand Rapids, MI 49525-9746

Mailing Address3264 N Evergreen Dr NeGrand Rapids, MI 49525-9746 · (616) 363-7339 · Fax (616) 361-5828

Phone(616) 363-7339

Fax(616) 361-5828

Sole ProprietorNo

Enumeration DateMay 24, 2005

Last NPPES UpdateOctober 6, 2010

✔ NPI 1720081649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in MI · 4301097371✔ Licensed in OK · 12562

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

3264 N EVERGREEN DR NE, Grand Rapids, MI 49525

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Other Identifiers 6

Medicare UPINE64494OK

Medicare ID-Type Unspecified242419511OK

Medicare ID-Type Unspecified2RADIA006OK

Medicaid100009180AOK

Medicare ID-Type Unspecified244421005OK

Medicare ID-Type UnspecifiedMDLPL006OK

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.

LEWIS A JONES M.D.

Radiology (Diagnostic Radiology)