Individual provider Active NPI

Maurice Anthony Jones, PA

  • Medical Physician Assistant
  • Siloam Springs, AR
National Provider Identifier
1891894630
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-520 Issued in AR
Practice address
500 S Mount Olive St
Suite 200
Siloam Springs, AR 72761-3602
Phone
(479) 524-6357
Fax
(479) 524-9552
NPI assigned
Sep 21, 2006
Last updated
Oct 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA03035 TX
Medical Physician Assistant 363AM0700X PA-520 AR Primary

Addresses

Primary practice location

500 S Mount Olive St
Suite 200
Siloam Springs, AR 72761-3602

Mailing address

614 E Emma Ave
Suite 300
Springdale, AR 72764-4634
Phone (479) 751-7417

Other identifiers 1

IdentifierTypeStateIssuer
197892795MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131108001177 AR Practitioner - Physician Assistant 4789724782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Francis House Nwa, Inc.Group PAC ID 0042262495, 67 clinicians

Practice addresses (Care Compare)

500 S Mount Olive St
Siloam Springs, AR 72761-3602
Phone (479) 524-9550

614 E Emma Ave
Springdale, AR 72764-4469
Phone (479) 751-7417

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA03035TXMDPhysician Assistant
PA-520ARMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis House Nwa, Inc CurrentSince Jul 1, 2013 Accepting new patients
St Francis House Nwa, Inc CurrentSince Jul 1, 2013 Accepting new patients
Texas Gastrointestinal Associates PA Past Accepting new patients
St. Francis House Nwa, Inc. Past Accepting new patients

Locations

1233 W Poplar St
Rogers, AR 72756
Phone (479) 636-9235

304 S Maxwell St
Siloam Springs, AR 72761
Phone (479) 524-9550

500 S Mount Olive St
Ste 200
Siloam Springs, AR 72761
Phone (479) 524-9550

614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898

Interoperability endpoints

  • Direct secure messaging: maurice.jones@ccn.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382918400000",
    "number": "1891894630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 E EMMA AVE",
            "address_2": "SUITE 300",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644634",
            "telephone_number": "479-751-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S MOUNT OLIVE ST",
            "address_2": "SUITE 200",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727613602",
            "telephone_number": "479-524-6357",
            "fax_number": "479-524-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MAURICE",
        "middle_name": "ANTHONY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03035",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "PA-520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197892795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Siloam Springs, AR

Sources for this page

Verify at the official NPI Registry.