Organization Active NPI

George T. Jones M.D.S.C

  • Urology Physician
  • Joliet, IL
National Provider Identifier
1386848315
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
36056701 Issued in IL
Legal business name
GEORGE T. JONES M.D.S.C
Practice address
2112 W Jefferson St
Suite 222
Joliet, IL 60435-6663
Phone
(815) 725-4566
Fax
(815) 725-5351
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. George Thomas Jones III, M.D.NPI 1750369658
Title
President
Phone
(815) 725-4566

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
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 36056701 IL Primary

Addresses

Primary practice location

2112 W Jefferson St
Suite 222
Joliet, IL 60435-6663

Mailing address

2112 W Jefferson St
Suite 222
Joliet, IL 60435-6663
Phone (815) 725-4566

Other identifiers 1

IdentifierTypeStateIssuer
36056701MedicaidIL

National Provider Directory

National Provider Directory

Locations

2112 W Jefferson St
Ste 222
Joliet, IL 60435
Phone (815) 725-4566

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386848315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 W JEFFERSON ST",
            "address_2": "SUITE 222",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356663",
            "telephone_number": "815-725-4566",
            "fax_number": "815-725-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 W JEFFERSON ST",
            "address_2": "SUITE 222",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356663",
            "telephone_number": "815-725-4566",
            "fax_number": "815-725-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE T. JONES M.D.S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-725-4566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "IL",
            "license": "36056701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36056701",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.