MEDICARE: RONALD S. JONES, M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1164616710
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONALD S. JONES, M.D.

Provider Business Mailing Address
First Line	:	830 PENNSYLVANIA AVE STE 305
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25302-3390
Country	:	US
Telephone Number	:	304-345-8107
Fax Number	:	304-345-7289

Provider Business Practice Location Address
First Line	:	830 PENNSYLVANIA AVE STE 305
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25302-3390
Country	:	US
Telephone Number	:	304-345-8107
Fax Number	:	304-345-7289

Authorized Official
Title or Position	:	OWNER
Name	:	RONALD S. JONES
Credential	:	M.D.
Telephone Number	:	304-345-8107

Provider Enumeration Date	:	08/28/2007
Last Update Date	:	08/28/2007

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