MEDICARE: MICHAEL BOZELLY 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
1	207RC0000X	Cardiovascular Disease Physician	13825R	LA
2	207UN0901X	Nuclear Cardiology Physician	13825R	LA

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

General Provider Information

NPI Number	:	1801005053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL BOZELLY JONES M.D.

Provider Business Mailing Address
First Line	:	2433 BEDFORD DR
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70131-4703
Country	:	US
Telephone Number	:	504-258-1766
Fax Number	:	504-875-4768

Provider Business Practice Location Address
First Line	:	3405 SAINT CLAUDE AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70117-6144
Country	:	US
Telephone Number	:	504-662-3763
Fax Number	:	504-875-4768

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

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	07/27/2015

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