David R Jones, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Berlin, WI
NPI 1295899987 · NPPES record last updated Feb 11, 2015
Key facts
- NPI
- 1295899987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 22113 (WI)
- Practice address
- 191 Memorial Dr
Suite 100
Berlin, WI 54923-1241 - Phone
- (920) 361-2500
- Fax
- (920) 361-2973
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22113 | WI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Wisconsin Orthopedics and Sports Medicine | Orthopaedic Surgery | Past |
Accepting new patients |
Interoperability endpoints
- djones135418@direct.thedacare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 22113 | WI | Yes |
Addresses
Primary practice location
191 Memorial Dr
Suite 100
Berlin, WI 54923-1241
Mailing address
191 Memorial Dr
Suite 100
Berlin, WI 54923-1241
Phone (920) 361-2500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30505000 | Medicaid | WI |
Other providers in Berlin, WI
- Jenna Jakielaszek
- Jason L. Fairweather
- Michelle A Jensen
- David Earl Johanknecht
- Melissa A Johnston
- Dale E Kanak
- Philip A Keith
- Kristin Klassa
- Diane Marie Klika
- Benjamin John Kozloski
All providers in Berlin, WI · Orthopaedic Surgery Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.