Persons Orthopaedic Sports Medicine and Joint Replacement Center, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101039588 Issued in VA

Legal business name

PERSONS ORTHOPAEDIC SPORTS MEDICINE AND JOINT REPLACEMENT CENTER, PC

Practice address

1005 Commercial LN
Suite 210
Suffolk, VA 23434-8149

Phone

(757) 410-8954

Fax

(757) 410-8963

NPI assigned

Mar 7, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeffrey B Persons, MDNPI 1265454417

Title

Physician

Phone

(757) 410-8954

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey B Persons, M.D.

  • Orthopaedic Surgery Physician
  • Suffolk, VA
  • NPI 1265454417
  Medicare reassignment NPD Authorized official
• Jason Downey, PA-C

  • Surgical Physician Assistant
  • Louisburg, NC
  • NPI 1427427830

  VA

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1104167626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 COMMERCIAL LN",
            "address_2": "SUITE 210",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348149",
            "telephone_number": "757-410-8954",
            "fax_number": "757-410-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 COMMERCIAL LN",
            "address_2": "SUITE 210",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348149",
            "telephone_number": "757-410-8954",
            "fax_number": "757-410-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONS ORTHOPAEDIC SPORTS MEDICINE AND JOINT REPLACEMENT CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "PERSONS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "757-410-8954",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101039588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perimeter Home Health LLC
• Karen Joya Gulley Perkins, D.D.S.
• Rakiyah Renee Perkins, LCSW
• Jasmine Perry, DMD
• Perseverance Therapeutic & Health Services
• Jeffrey B Persons, M.D.
• Mariah Antionette Petite
• Cora Petrino
• Nickolas L. Pezzella, M.D.
• Kevin Edward Phelps, PHARMD

• Specialist in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.