Physician Compare National (NPI:1942200662)

HEALTHCARE PROVIDER: DAN ELWIN JONES D.P.M

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1942200662
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9133183379
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20051013000435
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JONES
	Individual professional last name
Provider First Name	DAN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DPM
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	938 E HWY 67
	Group Practice or individual's line 1 address
City	DUNCAVILLE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	751372706
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9725725990
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450723
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	METHODIST CHARLTON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y