Organization Active NPI

Crystal M Jones MD MPH PLC

  • Internal Medicine Physician
  • Hillsdale, MI
National Provider Identifier
1366586711
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301068035 Issued in MI
Legal business name
CRYSTAL M JONES MD MPH PLC
Practice address
240 W Carleton Rd
Suite 1
Hillsdale, MI 49242-5034
Phone
(517) 437-2490
NPI assigned
Feb 19, 2007
Last updated
Sep 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Crystal M Jones, MDNPI 1053323584
Title
Owner
Phone
(517) 437-2490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301068035 MI Primary

Addresses

Primary practice location

240 W Carleton Rd
Suite 1
Hillsdale, MI 49242-5034

Mailing address

3061 Christy Way
Saginaw, MI 48603-2267
Phone (989) 791-2455

Other identifiers 1

IdentifierTypeStateIssuer
4994381MedicaidMI

National Provider Directory

National Provider Directory

Locations

240 W Carleton Rd
Ste 1
Hillsdale, MI 49242
Phone (517) 437-2490

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1366586711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 CHRISTY WAY",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032267",
            "telephone_number": "989-791-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W CARLETON RD",
            "address_2": "SUITE 1",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492425034",
            "telephone_number": "517-437-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL M JONES MD MPH PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-437-2490",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301068035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4994381",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.