Active NPI
Robert Joseph Jones, PA-C
- Physician Assistant
- Marion, KY
National Provider Identifier
1376536870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA685
- Practice address
- 520 W Gum St
Marion, KY 42064-1516 - Phone
- (270) 965-5281
- Fax
- (270) 965-1161
- NPI assigned
- Aug 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA685 | KY | Primary |
Addresses
Primary practice location
520 W Gum St
Marion, KY 42064-1516
Mailing address
402 Maple St
Eddyville, KY 42038-8037
Phone (270) 388-5404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95002838 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071017000794 | KY | Practitioner - Physician Assistant | 6204851074 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Em-I Medical Services PSC | Physician Assistant | Current | Accepting new patients |
| Hopkinsville Emergency Physicians LLC | Past | Accepting new patients | |
| Kentucky Em-I Medical Services PSC | Physician Assistant | Past | Accepting new patients |
| Emergency Physicians of Hopkinsville PLLC | Past | Accepting new patients |
Locations
1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330
803 Poplar St
Murray, KY 42071
Phone (270) 762-1155
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Ashland, KY
- NPI 1356848121
KY, Physician Assistant
-
- Emergency Medicine Physician
- Hopkinsville, KY
- NPI 1497951388
-
- Emergency Medicine Physician
- Hopkinsville, KY
- NPI 1033497573
-
- Emergency Medicine Physician
- Murray, KY
- NPI 1740512615
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1376536870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 MAPLE ST",
"city": "EDDYVILLE",
"state": "KY",
"postal_code": "420388037",
"telephone_number": "270-388-5404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 W GUM ST",
"city": "MARION",
"state": "KY",
"postal_code": "420641516",
"telephone_number": "270-965-5281",
"fax_number": "270-965-1161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ROBERT",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA685",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95002838",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.