Individual provider Active NPI

Douglas Roscoe Jones, MD

  • Hematology & Oncology Physician
  • Gettysburg, PA
National Provider Identifier
1295794519
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD039933L Issued in PA
Practice address
20 Expedition Trail Suite 101
Satish a. Shah, M.D., P.C.
Gettysburg, PA 17325-8394
Phone
(717) 334-4033
Fax
(717) 334-5599
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 18443 NE
Hematology & Oncology Physician 207RH0003X MD039933L PA Primary

Addresses

Primary practice location

20 Expedition Trail Suite 101
Satish a. Shah, M.D., P.C.
Gettysburg, PA 17325-8394

Mailing address

20 Expedition Trail Suite 101
Satish a. Shah, M.D., P.C.
Gettysburg, PA 17325-8394
Phone (717) 334-4033

Other identifiers 3

IdentifierTypeStateIssuer
1019092450003MedicaidPA
10025357600MedicaidNE
101909245 0001MedicaidPA

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
18443NEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Meadville Medical Center Hematology & Oncology PastSince Aug 3, 2010 Accepting new patients
Sunbury Clinic Company LLC Past Accepting new patients
Meadville Medical Center Past Accepting new patients
Midwest Hematology Oncology Specialist, P.C. Hematology & Oncology PastSince Feb 1, 2006 Accepting new patients

Organizations & group practices 4

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1295794519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EXPEDITION TRAIL SUITE 101",
            "address_2": "SATISH A. SHAH, M.D., P.C.",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173258394",
            "telephone_number": "717-334-4033",
            "fax_number": "717-334-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EXPEDITION TRAIL SUITE 101",
            "address_2": "SATISH A. SHAH, M.D., P.C.",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173258394",
            "telephone_number": "717-334-4033",
            "fax_number": "717-334-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DOUGLAS",
        "middle_name": "ROSCOE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NE",
            "license": "18443",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD039933L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019092450003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025357600",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101909245 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.