Active NPI
Paul William Jones, DO
- Anesthesiology Physician
- Ravenna, OH
National Provider Identifier
1861435893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 34-005170
- Practice address
- 6847 N Chestnut St
Ravenna, OH 44266-3929 - Phone
- (330) 297-2765
- Fax
- (330) 297-2769
- NPI assigned
- Jun 14, 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 34-005170 | OH | Primary |
Addresses
Primary practice location
6847 N Chestnut St
Ravenna, OH 44266-3929
Mailing address
4008 Queensbury Cir
Cuyahoga Falls, OH 44224-5416
Phone (330) 297-2765
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000139872 | Other | OH | ANTHEM PROVIDER NUMBER |
| 0910723 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-005170 | OH | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Primary Care Practices, Inc | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Anesthesiology | Past | Accepting new patients |
Locations
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
Interoperability endpoints
- pjones32897@ehrdirect.uhhospitals.org
Organizations & group practices 4
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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-
- Urgent Care Clinic/Center
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-
- Multi-Specialty Clinic/Center
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Anesthesiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485475200000",
"number": "1861435893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4008 QUEENSBURY CIR",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442245416",
"telephone_number": "330-297-2765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6847 N CHESTNUT ST",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442663929",
"telephone_number": "330-297-2765",
"fax_number": "330-297-2769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "PAUL",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2017-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "34-005170",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000139872",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0910723",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ravenna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.