Active NPI
Jason Todd Vena, M.D.
- Emergency Medicine Physician
- Augusta, ME
National Provider Identifier
1881825818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 041312
- Practice address
- 1 VA Center
Veterans Affairs Medical Center Togus
Augusta, ME 04330 - Phone
- (207) 623-5730
- NPI assigned
- Aug 8, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 041312 | CT | Primary |
| Medical Toxicology (Emergency Medicine) Physician | 207PT0002X | 041312 | CT |
Addresses
Primary practice location
1 VA Center
Veterans Affairs Medical Center Togus
Augusta, ME 04330
Mailing address
10 Water St
Apt 444
Waterville, ME 04901-6548
Phone (207) 210-0422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041312 | CT | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287705600000",
"number": "1881825818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 WATER ST",
"address_2": "APT 444",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049016548",
"telephone_number": "207-210-0422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 VA CENTER",
"address_2": "VETERANS AFFAIRS MEDICAL CENTER TOGUS",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "04330",
"telephone_number": "207-623-5730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENA",
"first_name": "JASON",
"middle_name": "TODD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-08",
"last_updated": "2010-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CT",
"license": "041312",
"primary": true
},
{
"code": "207PT0002X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Medical Toxicology",
"state": "CT",
"license": "041312",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.