Healthcare Provider Details

I. General information

NPI: 1063568731
Provider Name (Legal Business Name): ROBERT CARTER JONES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: R. CARTER JONES III

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 08/18/2022
Certification Date: 08/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 E MAPLEWOOD AVE STE 200
GREENWOOD VILLAGE CO
80111-4727
US

IV. Provider business mailing address

PO BOX 840862
DALLAS TX
75284-4727
US

V. Phone/Fax

Practice location:
  • Phone: 303-438-3999
  • Fax: 720-439-9500
Mailing address:
  • Phone: 303-377-7638
  • Fax: 303-780-0787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA102894
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number0058983
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberDR.0058983
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: