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NPI Code Detail

MEDICARE: DOROTHY L JONES DPM

MEDICARE: DOROTHY L JONES DPM
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
1213E00000XPodiatrist36002934OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396858254
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOROTHY L JONES DPM
Provider Business Mailing Address
First Line : 6200 PLEASANT AVE STE 3
Second Line :
City : FAIRFIELD
State : OH
Zip : 45014-4671
Country : US
Telephone Number : 513-829-9333
Fax Number : 513-858-7827
Provider Business Practice Location Address
First Line : 3131 W BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-1306
Country : US
Telephone Number : 614-272-8854
Fax Number : 614-573-7836
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2006
Last Update Date : 01/04/2017

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Directions to “ DOROTHY L JONES DPM” Practice Location

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