Healthcare Provider Details

I. General information

NPI: 1992777254
Provider Name (Legal Business Name): DAVID CALDWELL JONES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 COLCHESTER AVE FL 4
BURLINGTON VT
05401-1473
US

IV. Provider business mailing address

41 ALPINE DR
JERICHO VT
05465-2071
US

V. Phone/Fax

Practice location:
  • Phone: 802-847-5698
  • Fax: 802-847-3698
Mailing address:
  • Phone: 802-899-3697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number042.0010174
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number042.0010174
License Number StateVT
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number273570
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number273570
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: