Active NPI
Jocelyn Rae Idema, D.O
- Orthopaedic Surgery Physician
- Washington, PA
National Provider Identifier
1700080421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- OS017370
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number 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
| License | State | Type | Specialty |
|---|---|---|---|
| OS017370 | PA | MD | Orthopaedic Surgery Physician |
| OT012308 | PA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Orthopaedic Surgery Physician
- Boca Raton, FL
- NPI 1043029788
-
- Orthopaedic Surgery Physician
- Washington, PA
- NPI 1144956079
-
- Orthopaedic Surgery Physician
- Pittsburgh, PA
- NPI 1730986530
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Washington, PA
- NPI 1336459452
-
- General Acute Care Hospital
- Washington, PA
- NPI 1609984889
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.