Derek Wade Joyner, CSFA, OA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

0136000028 Issued in VA

Practice address

5716 Cleveland St
Virginia Beach, VA 23462-1784

Phone

(757) 490-4802

NPI assigned

Oct 3, 2022

Last updated

Oct 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Bethesda Chevy Chase Orthopaedic Associates, LLC

  dba Jordan-Young Institute

  • Orthopaedic Surgery Physician
  • Bethesda, MD
  • NPI 1477583599
  NPD (past)

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1639893621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15765 BREEZY HILL LN",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234306681",
            "telephone_number": "757-758-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5716 CLEVELAND ST",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621784",
            "telephone_number": "757-490-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYNER",
        "first_name": "DEREK",
        "middle_name": "WADE",
        "credential": "CSFA, OA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "VA",
            "license": "0136000028",
            "primary": true
        },
        {
            "code": "246ZX2200X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Orthopedic Assistant",
            "state": "VA",
            "license": "1206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caton Joyce, OTR/L
• Kevin Franklin Joyce, M.ED., ED.S., LPC
• Rita Ann Joyce, NP
• Joyful Eyecare, P.C.
• Antonio Joyner
• Racquel Renee Joyner
• Sarah Elizabeth Joyner, MD
• JP Therapy, LLC
• JPH Enterprise LLC Dba Preferred Care at Home of Virginia Beach
• JPM Logistics LLC

• Surgical Assistant in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Surgical Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.