Active NPI
Kevin M Jones, DO
- Emergency Medicine Physician
- Johnstown, PA
National Provider Identifier
1235752650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OT023419
- Practice address
- 1086 Franklin St
Johnstown, PA 15905-4305 - Phone
- (814) 534-9101
- NPI assigned
- May 20, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NA | NH | |
| Family Medicine Physician | 207Q00000X | 036166329 | IL | |
| Emergency Medicine Physician | 207P00000X | OT023419 | PA | Primary |
Addresses
Primary practice location
1086 Franklin St
Johnstown, PA 15905-4305
Mailing address
1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 534-9101
Other practice location 1
333 Borthwick Ave Ste 100
Portsmouth, NH 03801-4198
Phone (603) 559-4129
Other practice location 2
310 N 7 Hills Rd Ste 220
O Fallon, IL 62269-4111
Phone (618) 624-6181
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
330 Seven Springs Way
Brentwood, TN 37027-5098
3416 Valley Brook Rd
Nashville, TN 37215-2021
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT023419 | PA | MD | Emergency Medicine Physician |
| 036166329 | IL | MD | Family Medicine Physician |
Interoperability endpoints
- kjones51371@direct.conemaugh.org
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Cresson, PA
- NPI 1932515905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1235752650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1086 FRANKLIN ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159054305",
"telephone_number": "814-534-9101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1086 FRANKLIN ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159054305",
"telephone_number": "814-534-9101"
}
],
"practiceLocations": [
{
"address_1": "333 Borthwick Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "NH",
"postal_code": "038014198",
"country_code": "US",
"telephone_number": "603-559-4129",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "310 N 7 Hills Rd Ste 220",
"address_purpose": "LOCATION",
"city": "O Fallon",
"state": "IL",
"postal_code": "622694111",
"country_code": "US",
"telephone_number": "618-624-6181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "KEVIN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-20",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NH",
"license": "NA",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036166329",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OT023419",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "310 N 7 Hills Rd Ste 220",
"city": "O Fallon",
"state": "IL",
"country_code": "US",
"postal_code": "622694111",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.