Provider Demographics
NPI:1801833777
Name:AYRES, JOHN WISE II (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:WISE
Last Name:AYRES
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:1115 BOULDERS PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4067
Mailing Address - Country:US
Mailing Address - Phone:804-560-5595
Mailing Address - Fax:804-560-9029
Practice Address - Street 1:1400 JOHNSTON WILLIS DR
Practice Address - Street 2:SUITE A
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-4765
Practice Address - Country:US
Practice Address - Phone:804-379-8088
Practice Address - Fax:804-794-6067
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2020-10-20
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Provider Licenses
StateLicense IDTaxonomies
VA101019800207XS0114X
VA0101019800207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA35427OtherOPTIMA HEALTH
VA540885859OtherC&O EMPLOYEE'S HEALTHCARE
VA540885859OtherFOCUS
VA540885859OtherCOMPMANAGEMENT
VA30498OtherSH CARENET
VA540885859OtherCORVEL
VA042948OtherANTHEM HEALTHKEEPERS
VA540885859OtherFIRST HEALTH/CCN
VA006467059Medicaid
VA200012508OtherRAILROAD MEDICARE
VA540885859OtherMULTIPLAN
VA540885859OtherCIGNA
VA1801833777Medicaid
VA0900032OtherUNITED HEALTHCARE
VA2138258OtherUNITED HEALTHCARE MAMSI
VA285547OtherSOUTHERN HEALTH
VA0536714OtherAETNA HMO
VA540885859OtherPRIVATE HEALTHCARE SYSTEM
VA200012508OtherRAILROAD MEDICARE
VA006467059Medicaid
VA35427OtherOPTIMA HEALTH
VA0472640003Medicare NSC