MEDICARE: ROBERT W 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	207W00000X	Ophthalmology Physician	R1J10	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	180080	OTHER		HEALTHLINK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	431564100	OTHER		TRICARE
5	10540	OTHER	MO	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1821035569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT W JONES M.D.

Provider Business Mailing Address
First Line	:	1405 DOCTORS DR
Second Line	:
City	:	WEST PLAINS
State	:	MO
Zip	:	65775-4754
Country	:	US
Telephone Number	:	417-256-4111
Fax Number	:	417-256-8939

Provider Business Practice Location Address
First Line	:	1405 DOCTORS DR
Second Line	:
City	:	WEST PLAINS
State	:	MO
Zip	:	65775-4754
Country	:	US
Telephone Number	:	417-256-4111
Fax Number	:	417-256-8939

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

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	07/26/2023

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Directions to “ ROBERT W JONES M.D.” Practice Location

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