Data Breach Notifications

Entity Information

  • Type of Organization: Healthcare
  • Entity Name: Jefferson Surgical Clinic
  • Street Address: 1234 Franklin Road, SW
  • City: Roanoke
  • State, or Country if outside the US: VA
  • Zip Code: 24016

Submitted By

  • Name: Ross Molina
  • Title: Counsel
  • Firm name (if different than entity): Wilson Elser
  • Telephone Number: 5047021726
  • Email Address:
  • Relationship to entity whose information was compromised: Counsel

Breach Information

  • Total number of persons affected (including residents): 174,769
  • Total number of Maine residents affected: 15
  • If the number of Maine residents exceeds 1,000, have the consumer reporting agencies been notified: Yes
  • Date(s) Breach Occured: 06/05/2021
  • Date Breach Discovered: 06/05/2021
  • Description of the Breach:
    • External system breach (hacking)
  • Information Acquired - Name or other personal identifier in combination with: Social Security Number

Notification and Protection Services

  • Type of Notification: Written
  • Date(s) of consumer notification: 01/06/2022
  • Copy of notice to affected Maine residents: JSC - Notification Letter (12 month).pdf
  • Date of any previous (within 12 months) breach notifications: None
  • Were identity theft protection services offered: Yes
  • If yes, please provide the duration, the provider of the service and a brief description of the service: 12 months of credit monitoring + 1 MM in identity theft protection.