Active NPI
Pythias Damon Jones, M.D.
- Addiction Medicine (Psychiatry & Neurology) Physician
- Shaker Heights, OH
National Provider Identifier
1871685347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- License
- OH014733
- Practice address
- 3645 Warrensville Center Rd
#216
Shaker Heights, OH 44122-5247 - Phone
- (216) 752-5020
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | OH014733 | OH | Primary |
Addresses
Primary practice location
3645 Warrensville Center Rd
#216
Shaker Heights, OH 44122-5247
Mailing address
3645 Warrensville Center Rd
#216
Shaker Heights, OH 44122-5247
Phone (216) 752-5020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0815845 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OH014733 | OH | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237939200000",
"number": "1871685347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3645 WARRENSVILLE CENTER RD",
"address_2": "#216",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441225247",
"telephone_number": "216-752-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3645 WARRENSVILLE CENTER RD",
"address_2": "#216",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441225247",
"telephone_number": "216-752-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "PYTHIAS",
"middle_name": "DAMON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2009-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "OH",
"license": "OH014733",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0815845",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shaker Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.