Individual provider Active NPI

Jamie Deckoff-Jones, M.D.

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1255654240
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46478 Issued in AZ
Practice address
333 N Wilmot Rd
Suite 340
Tucson, AZ 85711-2631
Phone
(520) 222-8366
Fax
(520) 222-8367
NPI assigned
Mar 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 46478 AZ Primary
Family Medicine Physician 207Q00000X 3944 HI

Addresses

Primary practice location

333 N Wilmot Rd
Suite 340
Tucson, AZ 85711-2631

Mailing address

333 N Wilmot Rd
Suite 340
Tucson, AZ 85711-2631
Phone (520) 222-8366

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

LicenseStateTypeSpecialty
46478AZMDFamily Medicine Physician
3944HIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1255654240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N WILMOT RD",
            "address_2": "SUITE 340",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112631",
            "telephone_number": "520-222-8366",
            "fax_number": "520-222-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N WILMOT RD",
            "address_2": "SUITE 340",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112631",
            "telephone_number": "520-222-8366",
            "fax_number": "520-222-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKOFF-JONES",
        "first_name": "JAMIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-05",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "46478",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "3944",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.