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NPI Code Detail

MEDICARE: DR. EZEKIEL N JONES II D.O.

MEDICARE: DR. EZEKIEL N JONES II 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 Physician0102201480VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00187257OTHERVARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2313126OTHERVASOUTHERN HEALTH
4173460OTHERVAANTHEM
57066157OTHERVAAETNA
66817408OTHERVACIGNA

General Provider Information

NPI Number : 1730129206
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EZEKIEL N JONES II D.O.
Provider Business Mailing Address
First Line : 4461 STARKEY ROAD
Second Line : SUITE 201
City : ROANOKE
State : VA
Zip : 24018
Country : US
Telephone Number : 540-345-4946
Fax Number : 540-982-7164
Provider Business Practice Location Address
First Line : 1421 3RD ST SW
Second Line :
City : ROANOKE
State : VA
Zip : 24016-5204
Country : US
Telephone Number : 540-345-4946
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 03/10/2026

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