James I Jeffery, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Washington, UT
NPI 1083878433 · NPPES record last updated Jul 15, 2008
Key facts
- NPI
- 1083878433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 102418-0501 (UT)
- Practice address
- 833 S Riveredge Rd
Washington, UT 84780-2018 - Phone
- (435) 656-0035
- NPI assigned
- Jul 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102418-0501 | UT | MD | Foot & Ankle Surgery Podiatrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 102418-0501 | UT | Yes |
Addresses
Primary practice location
833 S Riveredge Rd
Washington, UT 84780-2018
Mailing address
833 S Riveredge Rd
Washington, UT 84780-2018
Phone (435) 656-0035
Other providers in Washington, UT
- Cassidy Marie Iverson
- Lorraine Michelle Ivey
- Patrick R Jackman
- Janie Earle DNP PC
- Robert Jarecki
- Nancy J Jenkins
- Jenna O'Brien O.D. PLLC
- Jessica T Simons
- Joel C. Horne & Co., Inc.
- Joel C. Horne & Co., Inc.
All providers in Washington, UT · Foot & Ankle Surgery Podiatrist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.