Active NPI
Angela Jones, MD, PC
- Internal Medicine Physician
- Roseburg, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ANGELA JONES, MD, PC
- Practice address
- 1813 W Harvard Ave Ste 423
Roseburg, OR 97471-8712 - Phone
- (541) 440-6322
- Fax
- (541) 440-6399
- NPI assigned
- Mar 11, 2020
- 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
- Angela L Jones, MD
- Title
- Owner
- Phone
- (541) 440-6322
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1813 W Harvard Ave Ste 423
Roseburg, OR 97471-8712
Mailing address
1813 W Harvard Ave Ste 423
Roseburg, OR 97471-8712
Phone (541) 440-6322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2190757 | Angela Jones, MD PC | Certificate of waiver | Aug 18, 2026 |
National Provider Directory
National Provider DirectoryLocations
2525 W Harvard Ave
Ste 3
Roseburg, OR 97471
1813 W Harvard Ave
Ste 427
Roseburg, OR 97471
Phone (541) 440-6322
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Roseburg, OR
- NPI 1174759997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583884800000",
"number": "1114552999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1813 W HARVARD AVE STE 423",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974718712",
"telephone_number": "541-440-6322",
"fax_number": "541-440-6399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1813 W HARVARD AVE STE 423",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974718712",
"telephone_number": "541-440-6322",
"fax_number": "541-440-6399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGELA JONES, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-11",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "541-440-6322",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.