Carol L Jones, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

50.002123 Issued in OH

Practice address

801 E. Washington St.
Medina, OH 44256-1847

Phone

(330) 722-1069

NPI assigned

May 27, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Department of Behavioral Health & Developmental Disabilities

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  • Savannah, GA
  • NPI 1942432737
  NPD
• Rakesh Ranjan MD & Associates, Inc.

  • Specialty Pharmacy
  • Garfield Heights, OH
  • NPI 1225435597
  NPD (past)

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1578882783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E WASHINGTON ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E. WASHINGTON ST.",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561847",
            "telephone_number": "330-722-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CAROL",
        "middle_name": "L",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.002123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynne Johnson, CNP
• Lisa Gaye Johnson, LPN
• Logan Johnson, LPCC-S
• Nicole Johnson
• Nicole Johnson, CNP
• Crystal S Jones, MSW,CA
• Kristy Lynn Jones, LPC
• Saniquwa Marsha Jones
• Elisabeth Jordan
• Jaymee Kathryn Jordan

• Medical Physician Assistant in Medina, OH
• Providers in Medina, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.