Provider Demographics
NPI:1780619775
Name:HOPKINS, JAY E (MD)
Entity type:Individual
Prefix:
First Name:JAY
Middle Name:E
Last Name:HOPKINS
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:PO BOX 10909
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24506
Mailing Address - Country:US
Mailing Address - Phone:434-845-7035
Mailing Address - Fax:434-845-6940
Practice Address - Street 1:2019 TATE SPRINGS ROAD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501
Practice Address - Country:US
Practice Address - Phone:434-845-7035
Practice Address - Fax:434-845-6940
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101027395207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP00225498OtherMEDICARE RAILROAD PIN
VA00W355O09Medicare PIN
VAP00225498OtherMEDICARE RAILROAD PIN