Provider Demographics
NPI:1689659906
Name:AREY, JO ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:JO
Middle Name:ANN
Last Name:AREY
Suffix:
Gender:F
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:PO BOX 804
Mailing Address - Street 2:
Mailing Address - City:GALAX
Mailing Address - State:VA
Mailing Address - Zip Code:24333-0804
Mailing Address - Country:US
Mailing Address - Phone:540-236-5181
Mailing Address - Fax:
Practice Address - Street 1:199 HOSPITAL DR
Practice Address - Street 2:SUITE 7
Practice Address - City:GALAX
Practice Address - State:VA
Practice Address - Zip Code:24333-2454
Practice Address - Country:US
Practice Address - Phone:276-236-5181
Practice Address - Fax:276-236-3297
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101-027644207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010027136Medicaid
VA005623146Medicaid
VA5633559Medicaid
080005640Medicare ID - Type Unspecified
003358C63Medicare PIN
VA005623146Medicaid
VA010027136Medicaid
080006726Medicare PIN