Active NPI
Jonathan Brice Arrington
- Sports Medicine (Internal Medicine) Physician
- Charleston, WV
National Provider Identifier
1558829846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Internal Medicine) Physician
- License
- T66847070
- Practice address
- 2300 Maccorkle Ave SE RM 409
Charleston, WV 25304-1045 - Phone
- (860) 221-4887
- NPI assigned
- Mar 6, 2019
- Last updated
- Mar 6, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | T66847070 | VA | Primary |
Addresses
Primary practice location
2300 Maccorkle Ave SE RM 409
Charleston, WV 25304-1045
Mailing address
1469 Brick Church Rd
Rocky Mount, VA 24151-4054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPS282M58443 | Other | VA | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T66847070 | VA | MD | Sports Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551830400000",
"number": "1558829846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1469 BRICK CHURCH RD",
"city": "ROCKY MOUNT",
"state": "VA",
"postal_code": "241514054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 MACCORKLE AVE SE RM 409",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041045",
"telephone_number": "860-221-4887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARRINGTON",
"first_name": "JONATHAN",
"middle_name": "BRICE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-06",
"last_updated": "2019-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "VA",
"license": "T66847070",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "RPS282M58443",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.