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MARTHA JEFFERSON MEDICAL GROUP LLC NPI 1275720559


NPI Information

NPI: 1275720559
Provider Name: MARTHA JEFFERSON MEDICAL GROUP LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
590 PETER JEFFERSON PKWY STE 300
CHARLOTTESVILLE, VA
ZIP 22911
Phone: (434) 654-7340
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MARTHA JEFFERSON MEDICAL GROUP LLC is a family medicine in Charlottesville, VA. The provider is 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. MARTHA JEFFERSON MEDICAL GROUP LLC NPI is 1275720559. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

590 PETER JEFFERSON PKWY STE 300
CHARLOTTESVILLE, VA
ZIP 22911-628
Phone: (434) 654-7340
Fax: (434) 654-7752

The provider's authorized official is Bruce Clemons .
The authorized official title is Vice President, Medical Director and has the following contact phone number (434) 654-5229.

The enumeration date for this NPI number is 10/1/2007 and was last updated on 9/29/2022.


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
1207RH0003XInternal MedicineHematology & OncologyNo
2207RP1001XInternal MedicinePulmonary DiseaseVIRGINIANo
3207XS0106XOrthopaedic SurgeryHand SurgeryVIRGINIANo
4208000000XPediatricsVIRGINIANo
5208M00000XHospitalistVIRGINIANo
6208200000XPlastic SurgeryVIRGINIANo
7208600000XSurgeryVIRGINIANo
8207Q00000XFamily MedicineVIRGINIAYes

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: 4/28/2024

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