JSNV Medical LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

JSNV MEDICAL LLC

Practice address

601 Old Wagner Rd
Petersburg, VA 23805-9313

Phone

(804) 722-3330

Fax

(888) 871-5546

NPI assigned

Jul 6, 2018

Last updated

Jun 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph W Siko Jr., DPMNPI 1578635934

Title

Owner

Phone

(434) 755-7896

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph W Siko Jr., DPM

  • Podiatrist
  • Petersburg, VA
  • NPI 1578635934
  Authorized official Same address or phone

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1427544048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 N MECKLENBURG AVE",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239704001",
            "telephone_number": "434-755-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 OLD WAGNER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059313",
            "telephone_number": "804-722-3330",
            "fax_number": "888-871-5546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416 Bracey Ln",
            "address_purpose": "LOCATION",
            "city": "South Hill",
            "state": "VA",
            "postal_code": "239701631",
            "country_code": "US",
            "telephone_number": "434-755-7896",
            "fax_number": "888-871-5546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JSNV MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-06",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "SIKO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-755-7896",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lerla Georgette Joseph, M.D.
• Mary Joseph, MD
• Martin Jourden, D.O.
• Journey Forward Counseling Services LLC
• Journey to Prosperity Mental Health
• Kevin A Julien
• Hong Jun, MD
• Rasha Kafi, NP
• Ahmed Abdul Hafeez Kardar, M.D.
• Khaled Katmeh, DDS

• Foot & Ankle Surgery Podiatrist in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Foot & Ankle Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.