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NPI Code Detail

MEDICARE: JOEL M. JONES D.O.

MEDICARE: JOEL M. JONES D.O.
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
1207Q00000XFamily Medicine PhysicianA107197NM
2207Q00000XFamily Medicine Physician0102203384VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
129030OTHERNMPRESBYTERIAN HEATLH PLAN
2NM014085OTHERNMBLUE CROSS BLUE SHEILD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407838246
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEL M. JONES D.O.
Provider Business Mailing Address
First Line : 856 J CLYDE MORRIS BLVD STE A
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23601-1318
Country : US
Telephone Number : 757-316-5800
Fax Number : 757-534-5190
Provider Business Practice Location Address
First Line : 209 VILLAGE AVE STE P
Second Line :
City : YORKTOWN
State : VA
Zip : 23693-5639
Country : US
Telephone Number : 757-316-5050
Fax Number : 757-369-2999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2005
Last Update Date : 04/26/2021

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