Active NPI
Alan V Jones, MD
- Internal Medicine Physician
- Vancouver, WA
National Provider Identifier
1982640710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00023963
- Practice address
- 222 NE Park Plaza Dr
Suite 100
Vancouver, WA 98684-5895 - Phone
- (360) 254-8025
- Fax
- (360) 254-8618
- NPI assigned
- Jun 21, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00023963 | WA | Primary |
Addresses
Primary practice location
222 NE Park Plaza Dr
Suite 100
Vancouver, WA 98684-5895
Mailing address
PO Box 1517
Pendleton, OR 97801-0410
Phone (877) 708-1119
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110047162 | Other | WA | RAILROAD MEDICARE |
| 1013788 | Medicaid | WA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672358400000",
"number": "1982640710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1517",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978010410",
"telephone_number": "877-708-1119",
"fax_number": "541-278-8349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 NE PARK PLAZA DR",
"address_2": "SUITE 100",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986845895",
"telephone_number": "360-254-8025",
"fax_number": "360-254-8618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ALAN",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2022-12-30",
"certification_date": "2022-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00023963",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110047162",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013788",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.