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NPI Code Detail

MEDICARE: DR. DAVID EDWARD JONES DPM

MEDICARE: DR. DAVID EDWARD JONES DPM
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
1213E00000XPodiatrist36002093OH
2213ES0103XFoot & Ankle Surgery Podiatrist3327NY
3213ES0103XFoot & Ankle Surgery Podiatrist553MN
4213E00000XPodiatrist553MN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00923858OTHERMNMEDICARE RAIL ROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000000492694OTHEROHANTHEM PIN
434200774700OTHEROHBUREAU OF WORKERS COMPENS

General Provider Information

NPI Number : 1639163405
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID EDWARD JONES DPM
Provider Business Mailing Address
First Line : 6625 LYNDALE AVE S STE 300
Second Line :
City : RICHFIELD
State : MN
Zip : 55423-2491
Country : US
Telephone Number : 612-788-8778
Fax Number : 612-869-3473
Provider Business Practice Location Address
First Line : 6625 LYNDALE AVE S STE 105
Second Line :
City : RICHFIELD
State : MN
Zip : 55423-2673
Country : US
Telephone Number : 612-243-8999
Fax Number : 612-869-3473
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 03/07/2023

Similar Medicare Providers

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6625 LYNDALE AVE S STE 105
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1679578157 — MR. SCOTT KNUTSON DPM
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1043289580 — DR. MARK DENNIS HOMSTAD D.P.M.
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RICHFIELD, MN
55423-2673
Practice Phone: 612-788-8778
Practice Fax:
1689710956 — LINDA JEAN LOGAN MASTER OF ARTS
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RICHFIELD, MN
55423-2673
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Practice Fax: 612-869-3473
1912033366 — MS. MARIE A GUILLAUME
Practice Location Address:
6625 LYNDALE AVE S STE 105
RICHFIELD, MN
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1588856546 — MARLENE BONILLA ALICEA DPM
Practice Location Address:
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Practice Fax:

Directions to “ DR. DAVID EDWARD JONES DPM” Practice Location

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