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JASON MATTHEW JERRY M.D., NPI 1023284353

Psychiatry & Neurology in PINEHURST, NC

Last Updated on : May 09,2017

JASON MATTHEW JERRY M.D., NPI 1023284353

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:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
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:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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