Individual
JONATHAN J CARMOUCHE
Active
Individual
JONATHAN J CARMOUCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101240988
VA
207XS0117X
Orthopaedic Surgery of the Spine Physician
0101-240988
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275562589
HEALTHKEEPERS PLUS
VA
05
—
1275562589
—
VA
01
—
371194700
BLACK LUNG
VA
01
—
3810018726
MEDICAID OF WEST VIRGINIA
VA
01
—
540506332108
TRICARE/CHAMPUS
VA
01
—
P00834687
RAILROAD MEDICARE
VA
Enumeration date
06/30/2006
Last updated
05/21/2026
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