Active NPI
Jo Ann Jones, M.D.
- Dermatology Physician
- Bowling Green, KY
National Provider Identifier
1225034267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- TP747
- Practice address
- 1065 Ashley St
Suite 200
Bowling Green, KY 42103-3400 - Phone
- (270) 781-5111
- Fax
- (270) 780-0478
- NPI assigned
- Jun 23, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | TP747 | KY | Primary |
Addresses
Primary practice location
1065 Ashley St
Suite 200
Bowling Green, KY 42103-3400
Mailing address
201 Park St
Bowling Green, KY 42101-1759
Phone (270) 781-5111
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50008663 | Other | KY | PASSPORT |
| 000000358328 | Other | KY | ANTHEM |
| P00289739 | Other | KY | RAILROAD MEDICARE |
| 64097314 | Medicaid | KY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| TP747 | KY | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404259200000",
"number": "1225034267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 PARK ST",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011759",
"telephone_number": "270-781-5111",
"fax_number": "270-780-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1065 ASHLEY ST",
"address_2": "SUITE 200",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421033400",
"telephone_number": "270-781-5111",
"fax_number": "270-780-0478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JO ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-23",
"last_updated": "2014-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "KY",
"license": "TP747",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50008663",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000358328",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00289739",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64097314",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.