Healthcare Provider Details

I. General information

NPI: 1316914617
Provider Name (Legal Business Name): MARY HOLDEN JONES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2006
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5350 TOMAH DR STE 1300
COLORADO SPRINGS CO
80918-6983
US

IV. Provider business mailing address

5350 TOMAH DR STE 1300
COLORADO SPRINGS CO
80918-6983
US

V. Phone/Fax

Practice location:
  • Phone: 303-970-3429
  • Fax:
Mailing address:
  • Phone: 303-970-3429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberCDRH.0005290
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License NumberCDRH.0005290
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: