Active NPI
Jack Gordon Jones, MEDICAL DOCTOR
- Legal Medicine
- Akron, OH
National Provider Identifier
1235297466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 38061
- Practice address
- 1660 Akron Peninsula Rd
Suite 101
Akron, OH 44313-5189 - Phone
- (330) 920-1660
- Fax
- (330) 920-1373
- NPI assigned
- Dec 4, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 38061 | OH | Primary |
Addresses
Primary practice location
1660 Akron Peninsula Rd
Suite 101
Akron, OH 44313-5189
Mailing address
1660 Akron Peninsula Rd
Suite 101
Akron, OH 44313-5189
Phone (330) 920-1660
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JO 0451356 | Other | OH | MEDICARE PROVIDER NUMBER |
| 34 1256234-0001 | Other | OH | COMMUNITY MUTUAL BCBS |
| 341256234-001 | Other | OH | BCBS OF OHIO |
| 34 1256234-00 | Other | OH | OH. BUREAU OF WORKER'S CO |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38061 | OH | MD | Legal Medicine |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Psychotherapy Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1235297466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 AKRON PENINSULA RD",
"address_2": "SUITE 101",
"city": "AKRON",
"state": "OH",
"postal_code": "443135189",
"telephone_number": "330-920-1660",
"fax_number": "330-920-1373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 AKRON PENINSULA RD",
"address_2": "SUITE 101",
"city": "AKRON",
"state": "OH",
"postal_code": "443135189",
"telephone_number": "330-920-1660",
"fax_number": "330-920-1373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JACK",
"middle_name": "GORDON",
"name_prefix": "Dr.",
"credential": "MEDICAL DOCTOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "OH",
"license": "38061",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "JO 0451356",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY MUTUAL BCBS",
"identifier": "34 1256234-0001",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF OHIO",
"identifier": "341256234-001",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH. BUREAU OF WORKER'S CO",
"identifier": "34 1256234-00",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.