Active NPI
Howard Stephen Jonas, DO
- Family Medicine Physician
- Bridgewater Corners, VT
National Provider Identifier
1780760942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0320000234
- Practice address
- 1606 Bridgewater Center Rd
Bridgewater Corners, VT 05035-9726 - Phone
- (802) 672-3875
- NPI assigned
- Oct 31, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0320000234 | VT | Primary |
Addresses
Primary practice location
1606 Bridgewater Center Rd
Bridgewater Corners, VT 05035-9726
Mailing address
1606 Bridgewater Center Rd
Bridgewater Corners, VT 05035-9726
Phone (802) 672-3875
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OVN0030 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0320000234 | VT | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780760942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1606 BRIDGEWATER CENTER RD",
"city": "BRIDGEWATER CORNERS",
"state": "VT",
"postal_code": "050359726",
"telephone_number": "802-672-3875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 BRIDGEWATER CENTER RD",
"city": "BRIDGEWATER CORNERS",
"state": "VT",
"postal_code": "050359726",
"telephone_number": "802-672-3875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONAS",
"first_name": "HOWARD",
"middle_name": "STEPHEN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VT",
"license": "0320000234",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OVN0030",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bridgewater Corners, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.