JASON MATTHEW JERRY M.D., NPI 1023284353
Psychiatry & Neurology in PINEHURST, NC
Last Updated on : May 09,2017
About JASON MATTHEW JERRY (NPI 1023284353)
JASON MATTHEW JERRY is a Psychiatry & Neurology provider in PINEHURST, United States. His medical specialization is Psychiatry & Neurology with a focus in Addiction Medicine.
1023284353 is NPI number of JASON MATTHEW JERRY.
JASON MATTHEW JERRY's primary taxonomy code based on NPI Lookup is 2084A0401X with license number 2016-02570. This taxonomy code refers to Psychiatry & Neurology.
JASON MATTHEW JERRY has more than 14 years of experience.
JASON MATTHEW JERRY current practice location address is 35 MEMORIAL DR, PINEHURST, NC. JASON MATTHEW JERRY can be reached out via phone at 910-715-3376 .
You can also correspond with JASON MATTHEW JERRY through mail at mailing address 35 MEMORIAL DR, PINEHURST, NC, United States. Mailing address contact number is 910-715-3376.
The enumeration date of JASON MATTHEW JERRY is 06-May-2008. The provider is registered as an Individual and the NPI record was last updated 6 years ago.1023284353 NPI Information
Basic NPI information of JASON MATTHEW JERRY (NPI 1023284353) is provided below.
| Name | JASON MATTHEW JERRY |
|---|---|
| National Provider Id (NPI) | 1023284353 |
| Entity Type | Individual |
| Gender | M |
| Credential | M.D. |
| Practice Address | 35 MEMORIAL DR,
PINEHURST, NC, United States |
| Practice Telephone | 910-715-3376 |
| Practice Fax Number | |
| Mailing Address | 35 MEMORIAL DR ,
PINEHURST, NC, United States |
| Mailing Telephone | 910-715-3376 |
| Mailing Fax Number | |
| Enumeration Date | 06-May-2008 |
| Last Updated Date | 09-May-2017 |
JASON MATTHEW JERRY (NPI 1023284353) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 2084A0401X | Psychiatry & Neurology, Addiction Medicine | 2016-02570 | NC |
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
JASON MATTHEW JERRY (NPI 1023284353) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 2084A0401X | Psychiatry & Neurology, Addiction Medicine | ME86759 | FL |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1023284353 | MEDICAID (05) | NC | |
| 3065454 | MEDICAID (05) | OH |
JASON MATTHEW JERRY (NPI 1023284353) Office Location
Office location of JASON MATTHEW JERRY is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1255514584 | JEREMY HILL | Radiology, Diagnostic Radiology | 5801 PINEHURST BYROMVILLE RD,
PINEHURST, GA, United States |
10-Dec-2007 |
| 1427413137 | ALBANY AREA PRIMARY HEALTH CARE, INC. | Clinic/Center, Federally Qualified Health Center (FQHC) | 204 N WESTOVER BLVD,
ALBANY, GA, United States |
22-Dec-2015 |
| 1124504105 | JAMI HORNE | Nurse Practitioner, Acute Care | 1062 FORSYTH ST STE 1B,
MACON, GA, United States |
13-Jul-2018 |
| 1144372475 | MICHAEL J CLAYMORE | Dentist, General Practice | PO BOX 609,
PINEHURST, ID, United States |
17-Jan-2007 |
| 1386771947 | PATRICK J DONAT | Pharmacist | PO BOX 1801,
HAYDEN, ID, United States |
28-Feb-2007 |
| 1639202609 | KOHAL PHARMACY INC | Durable Medical Equipment & Medical Supplies | PO BOX 400,
PINEHURST, ID, United States |
13-Mar-2007 |
| 1295034684 | RUSTY M WOOD | Physical Therapist | P.O. BOX 546,
PINEHURST, ID, United States |
24-Mar-2011 |
| 1750724597 | ROBERT ECKHART | Pharmacist | PO BOX 400,
PINEHURST, ID, United States |
11-Apr-2013 |
| 1629416151 | JAYSON ANDERS BIRD | Dentist | 8 N DIVISION ST,
PINEHURST, ID, United States |
06-Jun-2013 |
| 1992143978 | BIRD FAMILY DENTAL, PLLC | Clinic/Center, Dental | PO BOX 609,
PINEHURST, ID, United States |
12-Jun-2013 |
| 1811559123 | JANINE MERCY GARNER | Nurse Practitioner | 1633 WESTLAKE AVE N STE 105,
SEATTLE, WA, United States |
08-Jul-2019 |
| 1164901294 | TARA MARIE LODI | Physical Therapist | 601 W CAMERON AVE,
KELLOGG, ID, United States |
09-Aug-2018 |
| 1326595869 | AJ TRANSPORT | Non-emergency Medical Transport (VAN) | PO BOX 58,
KINGSTON, ID, United States |
01-Sep-2016 |
| 1992130447 | PACIFICA PINEHURST LLC | Assisted Living Facility | 1775 HANCOCK ST,
SUITE 200 SAN DIEGO, CA, United States |
03-Sep-2013 |
| 1104220854 | LLOYD RAUENHORST | Pharmacist | PO BOX 575,
PINEHURST, ID, United States |
09-Oct-2014 |
| 1568972016 | ETROS LIVING, LLC | Assisted Living Facility, Assisted Living, Mental Illness | 2986 N GRAND FIR DR,
COEUR D ALENE, ID, United States |
10-Oct-2017 |
| 1346224821 | RAFAEL L BEIER | Family Medicine | PO BOX 945,
PINEHURST, ID, United States |
30-Nov-2005 |
| 1215005277 | GLEN L WESTOVER | Chiropractor | 301 S DIVISION ST,
PINEHURST, ID, United States |
30-Nov-2006 |
| 1952438004 | SILVER VALLEY MEDICINE INC | Family Medicine | PO BOX 945,
107 CHURCH ST. PINEHURST, ID, United States |
27-Feb-2007 |
| 1275704561 | MICHAEL J CLAYMORE DDS | Dentist | PO BOX 609,
PINEHURST, ID, United States |
14-Mar-2008 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1023284353?1023284353 is the NPI number of JASON MATTHEW JERRY.
What is the specialty for JASON MATTHEW JERRY?The Specialty of JASON MATTHEW JERRY is Psychiatry & Neurology.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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