Healthcare Provider Details

I. General information

NPI: 1023243045
Provider Name (Legal Business Name): LINDSAY W JONES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2009
Last Update Date: 08/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9501 OLD ANNAPOLIS RD SUITE 220
ELLICOTT CITY MD
21042-6314
US

IV. Provider business mailing address

9501 OLD ANNAPOLIS RD SUITE 220
ELLICOTT CITY MD
21042-6314
US

V. Phone/Fax

Practice location:
  • Phone: 410-772-2000
  • Fax:
Mailing address:
  • Phone: 410-772-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080S0010X
TaxonomyPediatric Sports Medicine Physician
License NumberD73985
License Number StateMD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: