NPIMap

Organization Active NPI

Derrick D. Jones P C

  • Anesthesiology Physician
  • St Thomas, VI
National Provider Identifier
1881918878
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
1082 Issued in VI
Legal business name
DERRICK D. JONES P C
Practice address
9003 Havensight Shopp Ctr BLDG 3
St Thomas, VI 00802-2666
Phone
(340) 643-5876
Fax
(866) 703-0255
NPI assigned
Mar 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

Name
Dr. Derrick D Jones, M.D.NPI 1477669984
Title
President
Phone
(340) 227-8813

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 1082 VI Primary

Addresses

Primary practice location

9003 Havensight Shopp Ctr BLDG 3
St Thomas, VI 00802-2666

Mailing address

PO Box 306959
St Thomas, VI 00803-6959
Phone (877) 464-9046

Other names 1

  • Umbra Anesthesiology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100329000767 VI Part B Supplier - Clinic/Group Practice 1254467202 Receives reassigned benefits from 24 practitioners
Practice locations: St Thomas, VI; Cristiansted, VI

National Provider Directory

National Provider Directory

Locations

4100 Sion Farm Shopp Ctr
Ste 4B
Christiansted, VI 00820
Phone (340) 713-0617

9149 Estate Thomas
Ste 206
St Thomas, VI 00802
Phone (340) 777-9696

9003 Havensight Shopp Ctr
Bldg 3
St Thomas, VI 00802
Phone (340) 643-5876

3004 Estate Altona
Ste 5
St Thomas, VI 00802
Phone (340) 774-2395

9003 Havensight Shopp Ctr
Ste 307
St Thomas, VI 00802
Phone (877) 464-9046

9149 Estate Thomas
Ste 104
St Thomas, VI 00802
Phone (340) 714-2845

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1881918878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306959",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008036959",
            "telephone_number": "877-464-9046",
            "fax_number": "866-703-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9003 HAVENSIGHT SHOPP CTR BLDG 3",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022666",
            "telephone_number": "340-643-5876",
            "fax_number": "866-703-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERRICK D. JONES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "340-227-8813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "VI",
            "license": "1082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Umbra Anesthesiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Umbra Anesthesiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.