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1750455564

NPI Code Detail

MEDICARE: DONALD CHARLES JONES MD

MEDICARE: DONALD CHARLES 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	207Q00000X	Family Medicine Physician	4301062371	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	200000004383	OTHER	MI	PHPSM
4	900031018	OTHER	MI	PRIORITY HEALTH
5	080380035	OTHER	MI	BCBSM
6	080380035	OTHER	MI	BLUE CARE NETWORK

General Provider Information

NPI Number	:	1750455564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD CHARLES JONES MD

Provider Business Mailing Address
First Line	:	2600 SPRING ARBOR RD
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49203-3604
Country	:	US
Telephone Number	:	517-788-6470
Fax Number	:	517-788-5547

Provider Business Practice Location Address
First Line	:	2600 SPRING ARBOR RD
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49203-3604
Country	:	US
Telephone Number	:	517-788-6470
Fax Number	:	517-788-5547

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

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	02/26/2021

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Directions to “ DONALD CHARLES JONES MD” Practice Location

Language	Start Address	Practice Location

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