Provider Demographics
NPI:1689863821
Name:GIFFI, JASON THOMAS (DO)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:THOMAS
Last Name:GIFFI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:220 CAMPUS BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2896
Mailing Address - Country:US
Mailing Address - Phone:540-536-5100
Mailing Address - Fax:540-536-0235
Practice Address - Street 1:220 CAMPUS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2896
Practice Address - Country:US
Practice Address - Phone:540-536-5100
Practice Address - Fax:540-536-0235
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-23
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0102204461207P00000X
MDH0070416207P00000X
MA258889207P00000X
PAOS014667207P00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine