Individual provider Active NPI

George Thomas Jones III, M.D.

  • Urology Physician
  • Joliet, IL
National Provider Identifier
1750369658
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Practice address
2112 W Jefferson St
Suite 222
Joliet, IL 60435-6663
Phone
(815) 725-4566
Fax
(815) 725-5351
NPI assigned
Jan 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X IL Primary

Addresses

Primary practice location

2112 W Jefferson St
Suite 222
Joliet, IL 60435-6663

Mailing address

2112 W Jefferson St
Suite 222
Joliet, IL 60435-6663
Phone (815) 725-4566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20160526002449 IL Order and Referring Only - UrologyPractitioner - Urology 5193723757

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036056701ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George T. Jones M.D.S.C Urology Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750369658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 W JEFFERSON ST",
            "address_2": "SUITE 222",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356663",
            "telephone_number": "815-725-4566",
            "fax_number": "815-725-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 W JEFFERSON ST",
            "address_2": "SUITE 222",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356663",
            "telephone_number": "815-725-4566",
            "fax_number": "815-725-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "GEORGE",
        "middle_name": "THOMAS",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.