Individual provider Active NPI

Jon Slaven, PA-C

  • Orthopaedic Surgery Physician
  • Bristol, TN
National Provider Identifier
1629619820
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
3977 Issued in TN
Practice address
260 Midway Medical Park Ste 100
Bristol, TN 37620-1722
Phone
(423) 968-4446
Fax
(423) 844-6733
NPI assigned
Sep 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 3977 TN Primary

Addresses

Primary practice location

260 Midway Medical Park Ste 100
Bristol, TN 37620-1722

Mailing address

260 Midway Medical Park Ste 100
Bristol, TN 37620-1722
Phone (423) 968-4446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210406000041 VA Practitioner - Physician Assistant 1355774621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

Practice addresses (Care Compare)

13700 St Francis Blvd
Suite 302
Midlothian, VA 23114-3222
Phone (804) 281-8303

1510 N 28TH St
Richmond, VA 23223-5311

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 764-6000

8220 Meadowbridge Rd
Suite 101
Mechanicsville, VA 23116-2336
Phone (804) 288-2673

8901 Three Chopt Rd
Suite D
Richmond, VA 23229-4643
Phone (804) 440-4878

9369 Atlee Rd
Suite 3107
Mechanicsville, VA 23116-2400
Phone (804) 440-4878

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
90.74
Promoting interoperability
100
Improvement activities
40
Cost
78.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3977TNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc CurrentSince May 1, 2023 Accepting new patients
Orthovirginia Inc CurrentSince May 1, 2023 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Orthopaedic Surgery CurrentSince Mar 1, 2023 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Orthopaedic Surgery CurrentSince Mar 1, 2023 Accepting new patients
Orthovirginia, Inc. Orthopaedic Surgery Past Accepting new patients

Locations

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

9369 Atlee Rd
Ste 3107
Mechanicsville, VA 23116
Phone (804) 440-4878

15564 Westchester Commons Way
Midlothian, VA 23113
Phone (804) 440-4787

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

8901 Three Chopt Rd
Ste D
Richmond, VA 23229
Phone (804) 440-4878

12216 W Broad St
Ste 4B5
Richmond, VA 23233
Phone (804) 440-4878

Interoperability endpoints

  • Direct secure messaging: jslaven35961@direct.orthovirginia.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1629619820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 MIDWAY MEDICAL PARK STE 100",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201722",
            "telephone_number": "423-968-4446",
            "fax_number": "423-844-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MIDWAY MEDICAL PARK STE 100",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201722",
            "telephone_number": "423-968-4446",
            "fax_number": "423-844-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAVEN",
        "first_name": "JON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "3977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

Verify at the official NPI Registry.