Mark Edward Jones, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01694 Issued in IA

Practice address

5900 NW 86TH St Ste 100
Johnston, IA 50131-2284

Phone

(515) 276-6133

Fax

(515) 334-7356

NPI assigned

Mar 25, 2006

Last updated

Feb 6, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Central Iowa Hospital Corporation

  dba IMMC Outpatient Pharmacy

  • Pharmacy
  • Des Moines, IA
  • NPI 1003352949
  NPD (past)
• Central Iowa Hospital Corporation

  dba Southwest Family Physicians

  • Family Medicine Physician
  • Des Moines, IA
  • NPI 1891746442
  NPD (past)

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1700846474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 NW 86TH ST STE 100",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312284",
            "telephone_number": "515-276-6133",
            "fax_number": "515-334-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 NW 86TH ST STE 100",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312284",
            "telephone_number": "515-276-6133",
            "fax_number": "515-334-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "01694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700846474",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157784",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnston CSD
• Johnston Foot & Ankle Clinic
• Jolian Express Support LLC
• Amber Lauren Jolly, MSN, APRN, WHNP-BC
• Dianne Morris Jones, LMHC
• Joyful Hearts Home Care LLC
• Jra
• Kate Junk, PH.D.
• Lindsay Kabrick, M.A.
• David Kaptain

• Family Medicine Physician in Johnston, IA
• Providers in Johnston, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.