| Dr. Jon's Urgent Care Center, Llc | |
|
2871 Greensboro Rd Martinsville VA 24112-8108 | |
| (276) 638-2273 | |
| (276) 638-2250 |
| Full Name | Dr. Jon's Urgent Care Center, Llc |
|---|---|
| Speciality | General Practice |
| Location | 2871 Greensboro Rd, Martinsville, Virginia |
| Authorized Official Name and Position | Jon Peterson (DIRECTOR/OWNER) |
| Authorized Official Contact | 2766382273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jon's Urgent Care Center, Llc 2871 Greensboro Rd Martinsville VA 24112-8108 Ph: (276) 638-2273 | Dr. Jon's Urgent Care Center, Llc 2871 Greensboro Rd Martinsville VA 24112-8108 Ph: (276) 638-2273 |
| NPI Number | 1639403769 |
|---|---|
| Provider Enumeration Date | 09/22/2009 |
| Last Update Date | 07/03/2024 |
| Medicare PECOS PAC ID | 5294873378 |
|---|---|
| Medicare Enrollment ID | O20091110000452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639403769 | NPI | - | NPPES |
| 1639403769 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Jon T Peterson |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1407870975 PECOS PAC ID: 7416938956 Enrollment ID: I20040528001062 |
| Provider Name | Lauren Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598737488 PECOS PAC ID: 9032277306 Enrollment ID: I20081015000649 |
| Provider Name | Kristi Sasser Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881927416 PECOS PAC ID: 5991842411 Enrollment ID: I20091102000181 |
| Provider Name | Barton G Siebring |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588686687 PECOS PAC ID: 9739185232 Enrollment ID: I20130114000115 |
| Provider Name | Paula Plaster Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215352604 PECOS PAC ID: 5890927354 Enrollment ID: I20140415001889 |
| Provider Name | Ashley H Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962032854 PECOS PAC ID: 5597175810 Enrollment ID: I20201027002991 |
| Provider Name | Tara R Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235779646 PECOS PAC ID: 9830527423 Enrollment ID: I20211210002242 |
| Provider Name | Patrice Helen Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700545464 PECOS PAC ID: 5597126318 Enrollment ID: I20230726002768 |
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