Individual provider Active NPI

Jonathan Brice Arrington

  • Sports Medicine (Internal Medicine) Physician
  • Charleston, WV
National Provider Identifier
1558829846
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
T66847070 Issued in VA
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
RPS282M58443OtherVAANTHEM

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

LicenseStateTypeSpecialty
T66847070VAMDSports 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.

Verify at the official NPI Registry.