Active NPI
William David Jones, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Green Bay, WI
National Provider Identifier
1992953921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 15853-020
- Practice address
- 1554 River Pines Dr
Green Bay, WI 54311-5648 - Phone
- (920) 465-7856
- NPI assigned
- Sep 3, 2008
- 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 |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 15853-020 | WI | Primary |
Addresses
Primary practice location
1554 River Pines Dr
Green Bay, WI 54311-5648
Mailing address
1554 River Pines Dr
Green Bay, WI 54311-5648
Phone (920) 465-7856
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15853-020 | WI | MD | Sports Medicine (Orthopaedic Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1992953921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1554 RIVER PINES DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543115648",
"telephone_number": "920-465-7856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1554 RIVER PINES DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543115648",
"telephone_number": "920-465-7856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "WILLIAM",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-03",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "WI",
"license": "15853-020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.