Healthcare Provider Details

I. General information

NPI: 1982525903
Provider Name (Legal Business Name): ANTHONY MICHAEL JONES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20001 EUCLID AVE
EUCLID OH
44117-1480
US

IV. Provider business mailing address

34744 ETHAN WAY
WILLOUGHBY OH
44094-4212
US

V. Phone/Fax

Practice location:
  • Phone: 216-465-9942
  • Fax:
Mailing address:
  • Phone: 216-905-3211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: