MEDICARE: DR. MARY HOLDEN 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	208000000X	Pediatrics Physician	CDRH.0005290	CO
2	2080P0006X	Developmental - Behavioral Pediatrics Physician	CDRH.0005290	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	511-09428	OTHER	AL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	511-10960	OTHER	AL	BCBS
4	1316914617	OTHER	AL	TRICARE SOUTH
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	Z12020	OTHER	AL	VIVA HEALTH

General Provider Information

NPI Number	:	1316914617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY HOLDEN JONES MD

Provider Business Mailing Address
First Line	:	5350 TOMAH DR STE 1300
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-6983
Country	:	US
Telephone Number	:	303-970-3429
Fax Number	:

Provider Business Practice Location Address
First Line	:	5350 TOMAH DR STE 1300
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-6983
Country	:	US
Telephone Number	:	303-970-3429
Fax Number	:

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

Provider Enumeration Date	:	03/06/2006
Last Update Date	:	03/23/2026

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Directions to “ DR. MARY HOLDEN JONES MD” Practice Location

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