NPIMap

Individual provider Active NPI

Penola P Jones, MD

  • Obstetrics & Gynecology Physician
  • Sandusky, OH
National Provider Identifier
1689632424
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35050195 Issued in OH
Practice address
2500 W Strub Rd Ste 210
Sandusky, OH 44870-5390
Phone
(419) 625-2841
Fax
(419) 625-1299
NPI assigned
May 2, 2006
Last updated
Sep 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35-050195 OH
Obstetrics & Gynecology Physician 207V00000X 35050195 OH Primary

Addresses

Primary practice location

2500 W Strub Rd Ste 210
Sandusky, OH 44870-5390

Mailing address

PO Box 378
Sandusky, OH 44871-0378
Phone (419) 609-1112

Other identifiers 1

IdentifierTypeStateIssuer
0553511MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040527000088 OH Practitioner - Obstetrics/Gynecology 9335120187 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Southwestern Medical School at Dallas, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2500 W Strub Rd
Suite 210
Sandusky, OH 44870-5390
Phone (419) 626-6161

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-050195OHMDSpecialist
35050195OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists LLC Obstetrics & Gynecology CurrentSince Mar 12, 2012 Accepting new patients
North Coast Professional Company, LLC CurrentSince Sep 1, 2009 Accepting new patients
Family Health Services of Erie County CurrentSince Jan 14, 2014 Accepting new patients
North Coast Professional Company, LLC Obstetrics & Gynecology CurrentSince Sep 1, 2009 Accepting new patients
Family Health Services of Erie County CurrentSince Jan 14, 2014 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Mar 12, 2012 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients
Firelands Regional Medical Center Past Accepting new patients

Locations

1912 Hayes Ave
Sandusky, OH 44870
Phone (419) 609-1460

1912 Hayes Ave
Ste 1E
Sandusky, OH 44870
Phone (419) 557-5541

1912 Hayes Ave
Ste D
Sandusky, OH 44870
Phone (419) 502-2832

2500 W Strub Rd
Ste 210
Sandusky, OH 44870
Phone (419) 625-2841

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

Interoperability endpoints

  • Direct secure messaging: pjones20350@nomshealthcare.direct-ci.com

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1689632424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-609-1112",
            "fax_number": "419-609-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W STRUB RD STE 210",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705390",
            "telephone_number": "419-625-2841",
            "fax_number": "419-625-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "PENOLA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-050195",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35050195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0553511",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.