Individual
JESSICA PARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 224-5170
(540) 983-8212
Mailing address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 224-5170
(540) 983-8212
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101261647
VA
208600000X
Surgery Physician
35-095761
OH
2086X0206X
Surgical Oncology Physician
22574
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225212707
AKRON BREAST SURGEONS TYPE 2 NPI #
OH
01
—
1841239274
PARTNERS PHYSICIAN GROUP NPI #
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID #
OH
05
—
3076497
—
OH
05
—
3810026956
—
WV
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE #
OH
Enumeration date
06/28/2007
Last updated
12/11/2020
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