Active NPI
John D Jones, MD
- Ophthalmology Physician
- Anderson, IN
National Provider Identifier
1790757334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 01020462A
- Practice address
- 1628 Medical Arts Blvd
Anderson, IN 46011-3441 - Phone
- (765) 649-5221
- Fax
- (765) 649-1537
- NPI assigned
- Feb 7, 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 01020462A | IN | Primary |
Addresses
Primary practice location
1628 Medical Arts Blvd
Anderson, IN 46011-3441
Mailing address
1628 Medical Arts Blvd
Anderson, IN 46011-3441
Phone (765) 649-5221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100048350A | Medicaid | IN |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01020462A | IN | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256601600000",
"number": "1790757334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1628 MEDICAL ARTS BLVD",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460113441",
"telephone_number": "765-649-5221",
"fax_number": "765-649-1537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1628 MEDICAL ARTS BLVD",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460113441",
"telephone_number": "765-649-5221",
"fax_number": "765-649-1537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JOHN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2009-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IN",
"license": "01020462A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100048350A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.