Active NPI
Donald R Jones Enterprises, LLC
- Obstetrics & Gynecology Physician
- Poplar Bluff, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2000146677
- Legal business name
- DONALD R JONES ENTERPRISES, LLC
- Practice address
- 225 Physicians Park Ste 300
Poplar Bluff, MO 63901-3930 - Phone
- (573) 785-0313
- Fax
- (573) 727-0079
- NPI assigned
- Apr 11, 2017
- Last updated
- Apr 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald R Jones III, MD
- Title
- Owner
- Phone
- (573) 429-7677
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2000146677 | MO | Primary |
Addresses
Primary practice location
225 Physicians Park Ste 300
Poplar Bluff, MO 63901-3930
Mailing address
RR 1 Box 182
Williamsville, MO 63967-9722
Phone (573) 429-7677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204888101 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
225 Physicians Park
Ste 300
Poplar Bluff, MO 63901
Phone (573) 686-4133
Practitioners & affiliated clinicians
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.
-
- Obstetrics & Gynecology Physician
- Poplar Bluff, MO
- NPI 1649217951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491868800000",
"number": "1063945517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 1 BOX 182",
"city": "WILLIAMSVILLE",
"state": "MO",
"postal_code": "639679722",
"telephone_number": "573-429-7677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 PHYSICIANS PARK STE 300",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639013930",
"telephone_number": "573-785-0313",
"fax_number": "573-727-0079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONALD R JONES ENTERPRISES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-11",
"last_updated": "2017-04-11",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-429-7677",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "2000146677",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204888101",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.