NPIMap

Organization Active NPI

Jones Medical Corp

Doing business as Bridgewater Medical Center

  • Family Medicine Physician
  • Owensboro, KY
National Provider Identifier
1366765034
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
42115 Issued in KY
Legal business name
JONES MEDICAL CORP
Doing business as
Bridgewater Medical Center
Practice address
750 Salem Dr Ste 1a
Owensboro, KY 42303-7758
Phone
(270) 686-8008
Fax
(270) 686-8066
NPI assigned
Mar 9, 2010
Last updated
May 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Authorized official

Name
Jayna Robyn Jones, MDNPI 1760662373
Title
Medical Doctor
Phone
(270) 927-8585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 42115 KY Primary

Addresses

Primary practice location

750 Salem Dr Ste 1a
Owensboro, KY 42303-7758

Mailing address

230 Madison Square Dr Ste C
Madisonville, KY 42431-2792
Phone (270) 821-6262

Other names 1

  • Bridgewater Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100526000074 KY Part B Supplier - Clinic/Group Practice 5193865624 Receives reassigned benefits from 4 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sacramento, KY; Madisonville, KY; Owensboro, KY

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Bridgewater Medical Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2100 N Main St
Ste 1A
Madisonville, KY 42431
Phone 2708216262 ext. 207

2100 N Main St
Ste A
Madisonville, KY 42431

230 Madison Square Dr
Madisonville, KY 42431

230 Madison Square Dr
Ste C
Madisonville, KY 42431
Phone (270) 821-6262

750 Salem Dr
Owensboro, KY 42303
Phone (270) 686-8008

Practitioners & affiliated clinicians

Practitioners 5

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": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1366765034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MADISON SQUARE DR STE C",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312792",
            "telephone_number": "270-821-6262",
            "fax_number": "270-821-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 SALEM DR STE 1A",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423037758",
            "telephone_number": "270-686-8008",
            "fax_number": "270-686-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2019-05-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JAYNA",
        "authorized_official_middle_name": "ROBYN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "270-927-8585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "42115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgewater Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bridgewater Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.