DR. JUSTIN WILLIAM JEFFRIES (NPI# 1952563066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952563066 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN WILLIAM JEFFRIES |
| Credential | DO |
| Practice Address |
150 Duncan Rd Buckeye WV 24924-9037 |
| Practice Telephone | 3047997400 |
| Practice Fax Number | 3047992276 |
| Mailing Telephone | 3047997400 |
| Mailing Fax Number | 3047992276 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2016-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
OJ2204 | WV | Pharmacy Service Providers |
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
5315036530 | MI | Pharmacy Service Providers |
| Y | 207Q00000X | Family Medicine | 2531 | WV | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 5101017785 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810020445 | 05 | |
| WI | AETNA | 9072701 | 01 |
| WV | BC/BS | 2632257 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154861524 | Justin Jeffries | Community Health Worker | 1492 S Silicon Way Ste A, St George, UT 84770-7156 | 2017-03-03 |
| 1780138123 | Justin Jeffries | Nurse Practitioner | 123 Triangle Dr, Greensburg, PA 15601-3510 | 2016-08-14 |
| 1619339157 | Justin Jeffries | Internal Medicine | 1701 W Charleston Blvd, #230, Las Vegas, NV 89102-2325 | 2016-03-23 |
| Street Address |
150 DUNCAN RD |
| City | BUCKEYE |
| State | WV |
| Zip Code | 24924-9037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093704678 | John M Johnson | General Practice | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2005-10-17 |
| 1164061404 | Christopher Ryan Reece | Nurse Practitioner | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2020-01-03 |
| 1376038489 | Katherine Mae Pugh | Occupational Therapist | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2018-06-30 |
| 1699289884 | Melanie Kay Taylor | Physical Therapist | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2017-11-27 |
| 1114475456 | Karen Sue Melton | Nurse Practitioner | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2016-09-15 |
| 1104284157 | Jason L. Riffe | Physical Therapy Assistant | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2016-02-05 |
| 1104293794 | Joshua Alan Rhodes | Physician Assistant | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2015-08-31 |
| 1780082990 | Kathleen Brown | Dietitian, Registered | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2014-12-22 |
| 1891193686 | Marianna Grudziak | Physical Therapist | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2014-12-11 |
| 1740616853 | Thomas Melko | Specialist | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2013-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194173823 | Zachary Grimes | Student in an Organized Health Care Education/Training Program | 44 Bardstown Ln, Buckeye, WV 24924 | 2016-06-03 |
| 1215963806 | Luis E Soriano | Family Medicine | Duncan Road, Buckeye, WV 24924 | 2006-06-24 |
| 1669996112 | Melody Leighton Walkup | Physical Therapist | 1112 Spruce Flat Rd, Buckeye, WV 24924-9010 | 2017-07-26 |
| 1417952565 | Terry Linn Thomas | Emergency Medicine | 150 Duncan Road, Buckeye, WV 24924-9037 | 2005-06-16 |
| 1487901765 | Donna Lidel Burley | Nurse Practitioner | 150 Duncan Road, Buckeye, WV 24924-9037 | 2012-08-06 |
| 1104113190 | Julie D. Leyzorek Hare | Family Medicine | 150 Duncan Road, Buckeye, WV 24924-9037 | 2011-06-29 |
| 1588827661 | Heather Mangels Pace | Speech-Language Pathologist | 150 Duncan Road, Buckeye, WV 24924-9037 | 2008-07-08 |
| 1447313762 | Isaac G Alexis | General Practice | 150 Duncan Road, Buckeye, WV 24924-9037 | 2006-12-18 |
| 1063572717 | Teresa Moore Wagner | Registered Nurse | 150 Duncan Road, Buckeye, WV 24924-9037 | 2006-12-11 |
| 1912200783 | Angela Lester | Counselor | 57 Duncan Rd, Buckeye, WV 24924-9044 | 2010-12-16 |
| Find all providers in zip 24924 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487114054 | Jennifer Sue Heeter | Family Medicine | 23867 W Hidalgo Ave, Buckeye, AZ 85326-7008 | 2019-03-21 |
| 1063702934 | 1st Care Family Medicine, LLC | Family Medicine | 1300 S Watson Rd Ste 104, Buckeye, AZ 85326-6264 | 2011-04-13 |
| 1215963806 | Luis E Soriano | Family Medicine | Duncan Road, Buckeye, WV 24924 | 2006-06-24 |
| 1992779250 | Matthew Duke | Family Medicine | 1209 N Miller Rd, Buckeye, AZ 85326-1043 | 2006-02-14 |
| 1457334450 | Megan Blackburn | Family Medicine | 525 S Watson Rd Ste 200, Buckeye, AZ 85326 | 2005-11-22 |
| 1356345086 | John F Konings | Family Medicine | 306 E Monroe Ave, Buckeye, AZ 85326-2706 | 2005-06-10 |
| 1518437268 | Teledoctors of America LLC | Family Medicine | 25234 W Darrel Dr, Buckeye, AZ 85326-2554 | 2018-11-26 |
| 1225481740 | Alec Pramhus | Family Medicine | 525 S Watson Rd Ste 200, Buckeye, AZ 85326-3451 | 2016-07-20 |
| 1942527858 | Alan Robert Thorne | Family Medicine | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2010-05-02 |
| 1578716247 | Neal W Rehberg | Family Medicine | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2008-10-28 |
| Find all providers in BUCKEYE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.