Active NPI
Wendell Clyde Jones, MD
- Emergency Medicine Physician
- Nantucket, MA
National Provider Identifier
1407095680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 72423
- Practice address
- 6A Pine Tree Rd
Nantucket, MA 02554-2826 - Phone
- (860) 810-3026
- NPI assigned
- Feb 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 72423 | MA | Primary |
Addresses
Primary practice location
6A Pine Tree Rd
Nantucket, MA 02554-2826
Mailing address
PO Box 1242
Nantucket, MA 02554-1242
Phone (860) 810-3026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234396800000",
"number": "1407095680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1242",
"city": "NANTUCKET",
"state": "MA",
"postal_code": "025541242",
"telephone_number": "860-810-3026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6A PINE TREE RD",
"city": "NANTUCKET",
"state": "MA",
"postal_code": "025542826",
"telephone_number": "860-810-3026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "WENDELL",
"middle_name": "CLYDE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-12",
"last_updated": "2009-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "72423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nantucket, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.