Active NPI
Donald R Jones III, M.D.
- Obstetrics & Gynecology Physician
- Poplar Bluff, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2000146677
- Practice address
- 2600 Kanell Blvd # 1
Poplar Bluff, MO 63901-3001 - Phone
- (573) 785-0313
- Fax
- (573) 727-0079
- NPI assigned
- Jun 2, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2000146677 | MO | Primary |
Addresses
Primary practice location
2600 Kanell Blvd # 1
Poplar Bluff, MO 63901-3001
Mailing address
2600 Kanell Blvd # 1
Poplar Bluff, MO 63901-3001
Phone (573) 785-0313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204888101 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Mississippi School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2600 -1 Kanell Blvd
Poplar Bluff, MO 63901-3001
2600 Kanell Blvd
Suite 1
Poplar Bluff, MO 63901-3001
Phone (573) 785-0313
Hospital & facility affiliations
- Northwestern Medicine Central Dupage Hospital
- Poplar Bluff Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000146677 | MO | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozark OB-GYN LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Poplar Bluff Regional Medical Center LLC | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
2600 Kanell Blvd
#1
Poplar Bluff, MO 63901
Phone (573) 300-1313
2210 Barron Rd
Poplar Bluff, MO 63901
Phone (573) 686-4133
2210 Barron Rd
Ste 206
Poplar Bluff, MO 63901
Phone (573) 686-4133
225 Physicians Park
Ste 300
Poplar Bluff, MO 63901
Phone (573) 686-4133
Interoperability endpoints
- donald.jones.1@1432.direct.athenahealth.com
- https://api.platform.athenahealth.com/1432/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Poplar Bluff, MO
- NPI 1194779827
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- General Acute Care Hospital
- Poplar Bluff, MO
- NPI 1700831724
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Poplar Bluff, MO
- NPI 1700831724
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1649217951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 KANELL BLVD # 1",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639013001",
"telephone_number": "573-785-0313",
"fax_number": "573-727-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 KANELL BLVD # 1",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639013001",
"telephone_number": "573-785-0313",
"fax_number": "573-727-0079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "DONALD",
"middle_name": "R",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "2000146677",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204888101",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.