Individual provider Active NPI

John Edward Jones, M.D.

  • Emergency Medicine Physician
  • Spokane, WA
National Provider Identifier
1598847576
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD00038645 Issued in WA
Practice address
5901 N Lidgerwood St Ste 126
Spokane, WA 99208-1122
Phone
(509) 444-8200
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M11596 ID
Emergency Medicine Physician 207P00000X MD00038645 WA Primary

Addresses

Primary practice location

5901 N Lidgerwood St Ste 126
Spokane, WA 99208-1122

Mailing address

611 N Iron Bridge Way
Spokane, WA 99202-4932
Phone (509) 444-8200

Other identifiers 4

IdentifierTypeStateIssuer
1598847576MedicaidMT
1598847576MedicaidID
1598847576MedicaidWA
8271850MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040810000100 WA Practitioner - Emergency Medicine 1052383130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Association of SpokaneGroup PAC ID 9638063217, shared by 25 NPIs, 222 clinicians

Practice addresses (Care Compare)

1001 W 2ND Ave
Spokane, WA 99201-4503
Phone (509) 835-1206

1203 Idaho St
Lewiston, ID 83501-1940
Phone (208) 848-8300

5901 N Lidgerwood St
Spokane, WA 99208-1122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M11596IDMDEmergency Medicine Physician
MD00038645WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association of Spokane CurrentSince Mar 28, 2023 Accepting new patients
Community Health Association of Spokane Current Accepting new patients
Spokane Emergency Care Physicians PLLC Emergency Medicine CurrentSince Feb 1, 2022 Accepting new patients
Community Health Association of Spokane CurrentSince Mar 28, 2023 Accepting new patients
Spokane Washington Hospital Company LLC Past Accepting new patients
Major Hospital Past Accepting new patients
Public Hospital District #1-a of Whitman County Past Accepting new patients

Locations

611 N Iron Bridge Way
Spokane, WA 99202

5901 N Lidgerwood St
Ste 126
Spokane, WA 99208
Phone (509) 434-1990

1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

1502 N Vercler Rd
Spokane Valley, WA 99216
Phone (509) 444-8204

Interoperability endpoints

  • Direct secure messaging: john.jones.1@11411.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1598847576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N IRON BRIDGE WAY",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024932",
            "telephone_number": "509-444-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 N LIDGERWOOD ST STE 126",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992081122",
            "telephone_number": "509-444-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "M11596",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00038645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598847576",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598847576",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598847576",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8271850",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.