NPIMap

Individual provider Active NPI

Kenneth E Jones, M.D.

  • Orthopaedic Surgery Physician
  • Warren, OH
National Provider Identifier
1114911385
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35074255 Issued in OH
Practice address
1552 North Rd SE Ste 101
Warren, OH 44484-2957
Phone
(330) 856-1070
Fax
(330) 856-6186
NPI assigned
Sep 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35074255 OH Primary

Addresses

Primary practice location

1552 North Rd SE Ste 101
Warren, OH 44484-2957

Mailing address

1552 North Rd SE
Suite 101
Warren, OH 44484-2957
Phone (330) 856-1070

Other identifiers 3

IdentifierTypeStateIssuer
1376638205OtherOHNPI
6783110001OtherOHPTAN
2128343MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100105000100 OH Practitioner - Orthopedic Surgery 7214947837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Ohio State University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1552 N Rd SE
Suite 101
Warren, OH 44484-2900
Phone (330) 480-3679

410 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8000

667 Eastland Ave SE
Warren, OH 44484-4503
Phone (330) 480-2040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35074255OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Dec 30, 2021 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Mar 17, 2025 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Mar 17, 2025 Accepting new patients
Steward Medical Group Inc. CurrentSince Dec 30, 2021 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Orthopaedic Surgery Current Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients

Locations

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

1552 North Rd SE
Ste 101
Warren, OH 44484
Phone (330) 856-1070

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

Interoperability endpoints

  • Direct secure messaging: kjones34896@direct.bsmhealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1114911385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 NORTH RD SE",
            "address_2": "SUITE 101",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842957",
            "telephone_number": "330-856-1070",
            "fax_number": "330-856-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 NORTH RD SE STE 101",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842957",
            "telephone_number": "330-856-1070",
            "fax_number": "330-856-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KENNETH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35074255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1376638205",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "6783110001",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2128343",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.