David Robert Jones, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA051544 Issued in PA

Practice address

1 Kim Ave Ste 1
Tunkhannock, PA 18657-9101

Phone

(570) 240-4774

Fax

(570) 836-6888

NPI assigned

Apr 6, 2007

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

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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  • NPI 1861579203
  Medicare reassignment

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1790807022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KIM AVE STE 1",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186579101",
            "telephone_number": "570-240-4774",
            "fax_number": "570-836-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KIM AVE STE 1",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186579101",
            "telephone_number": "570-240-4774",
            "fax_number": "570-836-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DAVID",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian a Kellman MD LLC
• Balsam Itani, DPT
• Elissa Lee Jacob
• Alfred Stephen Jaskulski, D.M.D.
• Kirsten A Jervis, O.D.
• Elayne Kristen Jones, LPC
• Chris T Kalna, DMD
• Michael Robert Kapottos, DO
• Kara B Golden LLC
• Lisa Kelly

• Physician Assistant in Tunkhannock, PA
• Providers in Tunkhannock, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.