Provider Demographics
NPI:1225149750
Name:JENNINGS, TORINO R (MD)
Entity Type:Individual
Prefix:
First Name:TORINO
Middle Name:R
Last Name:JENNINGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10181 SCOTS LANDING RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-6683
Mailing Address - Country:US
Mailing Address - Phone:804-433-4341
Mailing Address - Fax:804-521-3194
Practice Address - Street 1:10181 SCOTS LANDING RD
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-6683
Practice Address - Country:US
Practice Address - Phone:804-433-4341
Practice Address - Fax:804-521-3194
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101235681207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1225149750Medicaid
VA174949OtherANTHEM BC BS
VA73016OtherOPTIMA HEALTH
VA010034159OtherVIRGINIA PREMIER
VA75686OtherSOUTHERN HEALTH
VA10034159VOtherVIRGINIA COORDINATED
VA44674OtherCARENET
VA73016OtherSENTARA
VA73016OtherOPTIMA HEALTH
VA44674OtherCARENET
VA73016OtherSENTARA
I03900Medicare UPIN
VA010034159OtherVIRGINIA PREMIER
VAMC10552Medicare PIN
VAVV3066AMedicare PIN