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JAMES RITCHIE JEZIOR M.D. NPI 1194889543


NPI Information

NPI: 1194889543
Provider Name: JAMES RITCHIE JEZIOR, M.D.
Classification: Urology - 208800000X
Entity Type: Individual
Organization: KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC

PECOS Registration: Yes

Address:
12255 FAIR LAKES PKWY BLDG 4TH
FAIRFAX, VA
ZIP 22033
Phone: (703) 934-4120
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James Ritchie Jezior, M.D. is an urology in Fairfax, VA with 35 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. James Ritchie Jezior, M.D. NPI is 1194889543. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduation Year:1989

The provider's business location address is:

12255 FAIR LAKES PKWY BLDG 4TH
FAIRFAX, VA
ZIP 22033-952
Phone: (703) 934-4120

The NPI 1194889543 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 6/6/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology0101059361VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.