M. Renee Jespersen, MD PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

0101233956 Issued in VA

Legal business name

M. RENEE JESPERSEN, MD PC

Practice address

6845 Elm St
Suite 708
MC Lean, VA 22101-6007

Phone

(703) 893-1111

NPI assigned

Mar 26, 2013

Organization subpart

No

Name

Marsha Renee Jespersen, MD

Title

Owner

Phone

(703) 893-1111

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 26, 2013.

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1821330002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 ELM ST",
            "address_2": "SUITE 708",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221016007",
            "telephone_number": "703-893-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 ELM ST",
            "address_2": "SUITE 708",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221016007",
            "telephone_number": "703-893-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. RENEE JESPERSEN, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "JESPERSEN",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-893-1111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101233956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in MC Lean, VA
• Plastic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.