Peter C Jones MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

M4807 Issued in ID

Legal business name

PETER C JONES MD PA

Practice address

2121 W Ironwood Center Dr
Coeur D Alene, ID 83814-2639

Phone

(208) 664-9784

Fax

(208) 664-9998

NPI assigned

Apr 28, 2009

Last updated

Apr 28, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter Christopher Jones, MDNPI 1083704332

Title

MD

Phone

(208) 664-9784

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Christopher Jones, M.D.

  • Surgery of the Hand (Plastic Surgery) Physician
  • Coeur d'Alene, ID
  • NPI 1083704332
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1003050527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 W IRONWOOD CENTER DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142639",
            "telephone_number": "208-664-9784",
            "fax_number": "208-664-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 W IRONWOOD CENTER DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142639",
            "telephone_number": "208-664-9784",
            "fax_number": "208-664-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER C JONES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "208-664-9784",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": "M4807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002612300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Perry, PHARM. D
• Richard Lee Perry, NURSE PRACTITIONER
• Benjamin Robert Perschau, MD
• Cynthia Bragg Pesco, PT
• Kurt Alexander Petellin, DDS
• Kevin Patrick Peters, PA-C
• Emily Lara Petersen, MD
• Henry Petersen, PA-C
• Lori Petersen
• Mariah Petersen, APP

• Specialist in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.