Douglas E Jessup in North Chesterfield - Adult Reconstructive Orthopaedic Surgery

Douglas E Jessup - NPI 1407822604

Douglas E Jessup is a Adult Reconstructive Orthopaedic Surgery in North Chesterfield, Virginia. Douglas E Jessup practices all healthcare services and medical treatments related to Adult Reconstructive Orthopaedic Surgery. The NPI Number for Douglas E Jessup is 1407822604. The last update date is 2017-12-01.

Douglas E Jessup's current location address is 1115 Boulders Pkwy, North Chesterfield, Virginia. You can contact this provider via phone number 8045605595 and fax number 8045609029. The mailing address for Douglas E Jessup is 1115 Boulders Pkwy, North Chesterfield, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas E Jessup
Address 1115 Boulders Pkwy, North Chesterfield, Virginia
Phone Number 8045605595
Fax Number 8045609029
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1407822604
Provider Enumeration Date 2006-02-27
Last Updated Date 2017-12-01

Provider Mailing Address Detail

Address 1115 Boulders Pkwy
City North Chesterfield
State Virginia (VA)
Post Code 232254067
Phone Number 8045605595
Fax Number 8045609029

Provider's Primary Taxonomy Detail

Speciality Adult Reconstructive Orthopaedic Surgery
Taxonomy 207Xs0114X
Licence No 101036486
Definition:
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthrosc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6496059 VA --

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FAQs about Douglas E Jessup

What is the unique 10-digit identifier code issued to Douglas E Jessup by the Centers for Medicare & Medicaid Services?

The Douglas E Jessup has been assigned the NPI (National Provider Identifier) 1407822604 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Douglas E Jessup's facilities are geographically located?

The facilities of Douglas E Jessup are physically situated at the following location: 1115 Boulders Pkwy, North Chesterfield, VA, 232254067.

What is the Douglas E Jessup's area of specialization and corresponding taxonomy classification?

The Douglas E Jessup's specialty field is Adult Reconstructive Orthopaedic Surgery, and it falls under the taxonomy code 207Xs0114X, which categorizes healthcare providers based on their specialties.

On what date was the 1407822604 assigned to Douglas E Jessup?

The Douglas E Jessup was issued its 1407822604 on 2006-02-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Douglas E Jessup last refreshed?

The information related to the Douglas E Jessup, including its address, specialty, and other relevant details, was last updated on 2017-12-01.

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