MEDICARE: DR. DANIEL A. JONES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	35-065254	OH

General Provider Information

NPI Number	:	1376507293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL A. JONES M.D.

Provider Business Mailing Address
First Line	:	1699 W LANE AVE
Second Line	:
City	:	UPPER ARLINGTON
State	:	OH
Zip	:	43221-3339
Country	:	US
Telephone Number	:	614-487-1409
Fax Number	:	614-487-1522

Provider Business Practice Location Address
First Line	:	1699 W LANE AVE
Second Line	:
City	:	UPPER ARLINGTON
State	:	OH
Zip	:	43221-3339
Country	:	US
Telephone Number	:	614-487-1409
Fax Number	:	614-487-1522

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	01/25/2020

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