Provider Demographics
NPI:1083640072
Name:JONES, ROY STEVEN (MD)
Entity Type:Individual
Prefix:
First Name:ROY
Middle Name:STEVEN
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 26618
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72221-6601
Mailing Address - Country:US
Mailing Address - Phone:501-313-5200
Mailing Address - Fax:501-747-2868
Practice Address - Street 1:10915 N RODNEY PARHAM ROAD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72212-4114
Practice Address - Country:US
Practice Address - Phone:501-747-2828
Practice Address - Fax:501-406-9265
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC6429207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR114575001Medicaid
AR50625Medicare ID - Type Unspecified
AR114575001Medicaid