NPI Code Details Logo

NPI 1497815054

NPI 1497815054 : JESSE TAYLOR TORBERT MD : RICHMOND, VA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1497815054
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JESSE TAYLOR TORBERT MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/12/2006
-----------------------------------------------------
    Last Update Date     |    09/04/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2819 N PARHAM RD STE 100 
-----------------------------------------------------
    City                 |    RICHMOND
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    23294-4425
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    804-288-9466
-----------------------------------------------------
    Fax                  |    804-288-9326
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 91734 
-----------------------------------------------------
    City                 |    RICHMOND
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    23291-1734
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    804-358-6100
-----------------------------------------------------
    Fax                  |    804-342-7619
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207X00000X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Surgery Physician
-----------------------------------------------------
    License Number       |    68667
-----------------------------------------------------
    License Number State |    CT
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207X00000X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Surgery Physician
-----------------------------------------------------
    License Number       |    0101258650
-----------------------------------------------------
    License Number State |    VA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207X00000X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Surgery Physician
-----------------------------------------------------
    License Number       |    MT185794
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    207X00000X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Surgery Physician
-----------------------------------------------------
    License Number       |    47315
-----------------------------------------------------
    License Number State |    TN
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    207X00000X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Surgery Physician
-----------------------------------------------------
    License Number       |    25IA12804100
-----------------------------------------------------
    License Number State |    NJ
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.