J. Houseworth, DPM LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

J. HOUSEWORTH, DPM LLC

Practice address

200 Medical Park Blvd
Petersburg, VA 23805-9274

Phone

(407) 922-0344

NPI assigned

Apr 26, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jon Douglas Houseworth, DPMNPI 1932456001

Title

Podiatrist

Phone

(407) 922-0344

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jon D Houseworth, DPM

  • Foot & Ankle Surgery Podiatrist
  • Midlothian, VA
  • NPI 1932456001
  NPD Authorized official

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1790531168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8902 RINGVIEW DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162972",
            "telephone_number": "407-922-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PARK BLVD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059274",
            "telephone_number": "407-922-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. HOUSEWORTH, DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "HOUSEWORTH",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "407-922-0344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatric Clinic/Center in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Podiatric Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.