Individual provider Active NPI

J Alfred Jones, M.D.

  • Internal Medicine Physician
  • Spring Mills, PA
National Provider Identifier
1821232125
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD018912E Issued in PA
Practice address
4570 Penns Valley Rd
Suite 1
Spring Mills, PA 16875-8500
Phone
(814) 422-8873
Fax
(814) 422-8037
NPI assigned
Apr 30, 2009
Last updated
Mar 13, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD018912E PA Primary

Addresses

Primary practice location

4570 Penns Valley Rd
Suite 1
Spring Mills, PA 16875-8500

Mailing address

4570 Penns Valley Rd
Suite 1
Spring Mills, PA 16875-8500
Phone (814) 422-8873

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 Medicine

State licenses

LicenseStateTypeSpecialty
MD018912EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heimer Eye Care Assoc. P.C. Past Accepting new patients
Laurel Eye Clinic Past Accepting new patients

Organizations & group practices 2

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": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1821232125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 PENNS VALLEY RD",
            "address_2": "SUITE 1",
            "city": "SPRING MILLS",
            "state": "PA",
            "postal_code": "168758500",
            "telephone_number": "814-422-8873",
            "fax_number": "814-422-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 PENNS VALLEY RD",
            "address_2": "SUITE 1",
            "city": "SPRING MILLS",
            "state": "PA",
            "postal_code": "168758500",
            "telephone_number": "814-422-8873",
            "fax_number": "814-422-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "J",
        "middle_name": "ALFRED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-30",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD018912E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Mills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.