Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 23956 | WV |
N | 207X00000X | Orthopaedic Surgeon | MD37365 | TN |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 23956 | WV |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD37365 | TN |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 23956 | WV |
NPI | 1891795209 |
---|---|
Provider Name | Dr. John Joseph Jasko |
First Address | Huntington, WV 25701-3656 |
Second Address | Huntington, WV 25701-3656 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 17/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H69226 | (02) | TN |