Provider Demographics
NPI:1518194059
Name:NALDO, JASON VICENTE (DPM)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:VICENTE
Last Name:NALDO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 LAMB CIR
Mailing Address - Street 2:SUITE L-760
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-6344
Mailing Address - Country:US
Mailing Address - Phone:540-731-2436
Mailing Address - Fax:540-731-2439
Practice Address - Street 1:2900 LAMB CIR
Practice Address - Street 2:SUITE L-760
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-6344
Practice Address - Country:US
Practice Address - Phone:540-731-2436
Practice Address - Fax:540-731-2439
Is Sole Proprietor?:No
Enumeration Date:2009-06-11
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103301066213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1518194059OtherCIGNA
VA1518194059OtherVIRGINIA HEALTH NETWORK
VA1518194059OtherMAJESTACARE
VA1518194059OtherAETNA
VA1518194059OtherINTOTAL
VA541586601118OtherTRICARE/CHAMPUS
VA1518194059OtherVA PREMIER
VA149858904OtherOWCP
VA1518194059OtherHEALTHKEEPERS
VA1518194059OtherUMWA
VA1518194059OtherHUMANA MEDICARE
VA1518194059OtherOPTIMA HEALTH PLAN
VA1518194059OtherSOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
VA1518194059OtherHEALTHKEEPERS PLUS
VA1518194059Medicaid
VA1518194059OtherANTHEM
VA1518194059OtherUNITED HEALTHCARE
VA1518194059OtherGATEWAY
VAP01111991OtherRAILROAD MEDICARE
VAVV6331AMedicare PIN