MEDICARE: DAVID FITZGERALD JONES MD

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	207RP1001X	Pulmonary Disease Physician	0101050894	VA
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	0101050894	VA

General Provider Information

NPI Number	:	1194712414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID FITZGERALD JONES MD

Provider Business Mailing Address
First Line	:	856 J CLYDE MORRIS BLVD
Second Line	:	SUITE A
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23601-1318
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20486 MARKET STREET
Second Line	:
City	:	ONANCOCK
State	:	VA
Zip	:	23417-2341
Country	:	US
Telephone Number	:	757-302-2700
Fax Number	:	757-787-9262

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	11/16/2021

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