Active NPI
Marvin Lee Jones, MSN, CRNA
- Certified Registered Nurse Anesthetist
- West Plains, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2000157074
- Practice address
- 1390 Bill Virdon Blvd
West Plains, MO 65775-3383 - Phone
- (417) 256-2225
- Fax
- (417) 256-2373
- NPI assigned
- Jun 17, 2005
- Last updated
- Jun 15, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2000157074 | MO | Primary |
Addresses
Primary practice location
1390 Bill Virdon Blvd
West Plains, MO 65775-3383
Mailing address
1390 Bill Virdon Blvd
West Plains, MO 65775-3383
Phone (417) 256-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 915032015 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000157074 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Ozarks Medical Center | Current | Accepting new patients | |
| Texas County Memorial Hospital | Current | Accepting new patients | |
| Texas County Memorial Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ozarks Medical Center | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Ozarks Anesthesia Associates LLC | Past | Accepting new patients |
Locations
1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-1252
100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010
100 W US Highway 60
Mountain View, MO 65548
Phone (417) 934-7000
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959
1390 Bill Virdon Blvd
West Plains, MO 65775
Phone (417) 256-2225
1410 Doctors Dr
West Plains, MO 65775
Phone (417) 255-2010
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mercy Clinic Family Medicine-Willow Springs
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- General Acute Care Hospital
- Houston, MO
- NPI 1790740363
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- West Plains, MO
- NPI 1598025504
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
-
- Psychiatric Hospital Unit
- West Plains, MO
- NPI 1235929027
-
dba TCMH Health Clinic - Annex
- Clinic/Center
- Houston, MO
- NPI 1497593719
-
- Pain Medicine (Anesthesiology) Physician
- West Plains, MO
- NPI 1356444806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276560000000",
"number": "1659376457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1390 BILL VIRDON BLVD",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "657753383",
"telephone_number": "417-256-2225",
"fax_number": "417-256-2373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 BILL VIRDON BLVD",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "657753383",
"telephone_number": "417-256-2225",
"fax_number": "417-256-2373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "MARVIN",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "MSN, CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2010-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2000157074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "915032015",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Plains, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.