Individual provider Active NPI

Douglas L Jones, MD

  • Internal Medicine Physician
  • White Sulphur Springs, WV
National Provider Identifier
1346280278
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10660 Issued in WV
Practice address
320 W Main St
White Sulphur Springs, WV 24986-2414
Phone
(304) 536-4870
Fax
(304) 536-8010
NPI assigned
Jun 8, 2006
Last updated
Sep 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10660 WV Primary

Addresses

Primary practice location

320 W Main St
White Sulphur Springs, WV 24986-2414

Mailing address

320 W Main St
White Sulphur Springs, WV 24986-2414
Phone (304) 536-4870

Other identifiers 2

IdentifierTypeStateIssuer
000157808OtherWVBLUE CROSS BLUE SHIELD
110048097OtherWVRAILROAD PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090422000066 WV Practitioner - EndocrinologyPractitioner - Internal Medicine 3476501818 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbrier Clinic Surgery Center Current Accepting new patients

Locations

40823 Midland Trl E
Wht Sphr Spgs, WV 24986
Phone (304) 536-4870

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1346280278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W MAIN ST",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249862414",
            "telephone_number": "304-536-4870",
            "fax_number": "304-536-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W MAIN ST",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249862414",
            "telephone_number": "304-536-4870",
            "fax_number": "304-536-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DOUGLAS",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "10660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000157808",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PTAN",
            "identifier": "110048097",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Sulphur Springs, WV

Sources for this page

Verify at the official NPI Registry.