Julio a Dejo MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101029979 Issued in VA

Legal business name

JULIO A DEJO MD PC

Practice address

8998 Fern Park Dr.
Burke, VA 22015

Phone

(703) 323-1263

Fax

(703) 323-1263

NPI assigned

May 11, 2012

Last updated

Jul 9, 2012By 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

Julio A. Dejo, M.D.NPI 1093879132

Title

Medical Doctor

Phone

(703) 323-1263

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.

• Julio Alberto Dejo, MD

  • Specialist
  • Burke, VA
  • NPI 1093879132
  Authorized official Same address or phone

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1467711366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8998 FERN PARK DR",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "22015",
            "telephone_number": "703-323-1263",
            "fax_number": "703-323-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8998 FERN PARK DR.",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "22015",
            "telephone_number": "703-323-1263",
            "fax_number": "703-323-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIO A DEJO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "DEJO",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "703-323-1263",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101029979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Faye Jones, DDS
• V. Leialoha Jones, CPNP
• Ellen Cooper Joseph, PHD
• Danielle Jouben
• Mary Rose Julich, MS, RD
• Jeanne Kadet, LCSW, LSATP
• Mahawa Mbalu Kagbo, FNP
• Howard Joel Kahn, O.D.
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Kaiser Permanente Burke Admixture Pharmacy)
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Burke Medical Center)

• Internal Medicine Physician in Burke, VA
• Providers in Burke, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.