Individual provider Active NPI

Jocelyn Rae Idema, D.O

  • Orthopaedic Surgery Physician
  • Washington, PA
National Provider Identifier
1700080421
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS017370 Issued in PA
Practice address
470 Johnson Road
Suite 210
Washington, PA 15301-8936
Phone
(412) 206-6770
Fax
(724) 941-5027
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0102202966 VA
Orthopaedic Surgery Physician 207X00000X 005444 AZ
Orthopaedic Surgery Physician 207X00000X OT012308 PA
Orthopaedic Surgery of the Spine Physician 207XS0117X OS017370 PA
Orthopaedic Surgery Physician 207X00000X OS017370 PA Primary

Addresses

Primary practice location

470 Johnson Road
Suite 210
Washington, PA 15301-8936

Mailing address

470 Johnson Road
Suite 210
Washington, PA 15301-8936
Phone (412) 206-6770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161213000370 PA Practitioner - Orthopedic Surgery 9335337609

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Philadelphia College of Osteopathic Medicine, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Trich Dr
Suite 2
Washington, PA 15301-5990

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS017370PAMDOrthopaedic Surgery Physician
OT012308PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Spine Institute of Florida PLLC Orthopaedic Surgery Current Accepting new patients
Steel City Spine and Orthopedic Center LLC Orthopaedic Surgery Past Accepting new patients
Orthovirginia, Inc. Orthopaedic Surgery Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Steel City Spine and Orthopedic Center LLC Orthopaedic Surgery Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jidema@regenixorthopedicgroup.emadirect.md

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 2

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1700080421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 JOHNSON ROAD",
            "address_2": "SUITE 210",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153018936",
            "telephone_number": "412-206-6770",
            "fax_number": "724-941-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 JOHNSON ROAD",
            "address_2": "SUITE 210",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153018936",
            "telephone_number": "412-206-6770",
            "fax_number": "724-941-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDEMA",
        "first_name": "JOCELYN",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2023-09-06",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0102202966",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "005444",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OT012308",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "PA",
            "license": "OS017370",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OS017370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.