MEDICARE: RADCLIFFE 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	208000000X	Pediatrics Physician	01040656	IN

Other Identifiers

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

General Provider Information

NPI Number	:	1679568240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RADCLIFFE JONES M.D.

Provider Business Mailing Address
First Line	:	2320 WALTON LAKE DR
Second Line	:
City	:	KOKOMO
State	:	IN
Zip	:	46902-7407
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2320 WALTON LAKE DR
Second Line	:
City	:	KOKOMO
State	:	IN
Zip	:	46902-7407
Country	:	US
Telephone Number	:	765-437-0211
Fax Number	:

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

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	10/23/2025

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