Charles Jones MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CHARLES JONES MD PC

Practice address

4743 Arapahoe Ave
Suite 100
Boulder, CO 80303-1113

Phone

(303) 443-2123

Fax

(303) 443-9497

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles Graham Jones, MD PA

Title

President

Phone

(303) 443-2123

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Jay Fox, MD

  • Surgery Physician
  • Boulder, CO
  • NPI 1295818474
  NPD (past)
• Janis K Sandlin, PA-C

  • Physician Assistant
  • La Mesa, CA
  • NPI 1184920407
  NPD (past)
• Stacy Renee' Trout, PA-C

  • Physician Assistant
  • Larned, KS
  • NPI 1679782742
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1376557967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4743 ARAPAHOE AVE",
            "address_2": "SUITE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031113",
            "telephone_number": "303-443-2123",
            "fax_number": "303-443-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4743 ARAPAHOE AVE",
            "address_2": "SUITE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031113",
            "telephone_number": "303-443-2123",
            "fax_number": "303-443-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES JONES MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "GRAHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-443-2123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01198456",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04012605",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Chaney
• David Chang, DC
• Bradley Grant Changstrom, M.D.
• Dana Leigh Charatan, PSY.D.
• Charles Horowitz PH.D.
• Sallie H Charles, NP
• Marlon Charneau
• Alicia Charry-Cedano
• Judith Lynne Chase-Jacobsen, LCSW
• Julia Ellis Chase

• Surgery Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.