NPIMap

Individual provider Active NPI

Mark W Jones, M.D.

  • Neurological Surgery Physician
  • Midland, MI
National Provider Identifier
1821093345
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
4301064490 Issued in MI
Practice address
2520 W Wackerly St
Midland, MI 48640-6921
Phone
(989) 698-3033
Fax
(989) 792-8814
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MJ064490 MI
Neurological Surgery Physician 207T00000X 4301064490 MI Primary

Addresses

Primary practice location

2520 W Wackerly St
Midland, MI 48640-6921

Mailing address

2520 W Wackerly St
Midland, MI 48640-6921
Phone (989) 698-3033

Other identifiers 1

IdentifierTypeStateIssuer
4514736MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joni@jonesneurosurgery.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050331000019 MI Practitioner - Neurosurgery 0042266926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Iowa, RJ & L Carver College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians

Practice addresses (Care Compare)

4100 Campus Ridge Dr
Midland, MI 48640-6139
Phone (989) 839-3393

Hospital & facility affiliations

  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222
  • Mymichigan Medical Center West Branch Hospital, West Branch, MI, CCN 230095
  • Mymichigan Medical Center Alma Hospital, Alma, MI, CCN 230030
  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070
  • Mymichigan Medical Center Alpena Hospital, Alpena, MI, CCN 230036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MJ064490MIMDSpecialist
4301064490MIMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Midland CurrentSince Jan 1, 2022 Accepting new patients
Mymichigan Medical Center Midland Neurological Surgery CurrentSince Jan 1, 2022 Accepting new patients
Saginaw Valley Neurosurgery, P.L.L.C. Neurological Surgery PastSince Nov 1, 2002 Accepting new patients

Locations

4100 Campus Ridge Dr
Midland, MI 48640
Phone (989) 488-5450

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

Interoperability endpoints

  • Direct secure messaging: mjones6571@mymichiganhealth.midirect.net
  • Direct secure messaging: mjones23@direct.covenanthealthcare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1821093345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406921",
            "telephone_number": "989-698-3033",
            "fax_number": "989-792-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406921",
            "telephone_number": "989-698-3033",
            "fax_number": "989-792-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MARK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "MJ064490",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301064490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4514736",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joni@jonesneurosurgery.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Joni Theisen",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2520 W Wackerly St",
            "city": "Midland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486406921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.