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NPI Code Detail

MEDICARE: DR. LEAH JONES M.D.

MEDICARE: DR. LEAH JONES M.D.
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 Physician37717MN
2207Q00000XFamily Medicine PhysicianG88179CA
3207QH0002XHospice and Palliative Medicine (Family Medicine) Physician17667HI
4207QH0002XHospice and Palliative Medicine (Family Medicine) Physician43404AZ
5207QH0002XHospice and Palliative Medicine (Family Medicine) PhysicianM-12862ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
135721290OTHERMNMEDICAL ASSISTANCE

General Provider Information

NPI Number : 1730327966
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEAH JONES M.D.
Provider Business Mailing Address
First Line : 4514 E HORSEHAVEN AVE
Second Line :
City : POST FALLS
State : ID
Zip : 83854-4656
Country : US
Telephone Number : 520-544-9890
Fax Number :
Provider Business Practice Location Address
First Line : 2290 W PRAIRIE AVE
Second Line :
City : COEUR D ALENE
State : ID
Zip : 83815-8424
Country : US
Telephone Number : 208-772-7994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2009
Last Update Date : 02/04/2025

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