Individual provider Active NPI

William B Jones II, MD

  • Emergency Medicine Physician
  • Conover, NC
National Provider Identifier
1184686479
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
22752 Issued in NC
Practice address
1105 Fairgrove Church Rd SE
Conover, NC 28613-9090
Phone
(828) 267-0551
Fax
(828) 267-0351
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 22752 NC Primary

Addresses

Primary practice location

1105 Fairgrove Church Rd SE
Conover, NC 28613-9090

Mailing address

4345 Rodeway CT NE
Hickory, NC 28601-8756
Phone (828) 256-6009

Other identifiers 3

IdentifierTypeStateIssuer
47355OtherNCBCBS
930093365OtherNCRAILROAD
8947355MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22752NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frye Emergency Medical Associates LLC Emergency Medicine Past Accepting new patients
Fryecare Urgent Care, PLLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1184686479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 RODEWAY CT NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286018756",
            "telephone_number": "828-256-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 FAIRGROVE CHURCH RD SE",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286139090",
            "telephone_number": "828-267-0551",
            "fax_number": "828-267-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "22752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "47355",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "930093365",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8947355",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conover, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.