Provider Demographics
NPI:1134105190
Name:JONES, WILLIAM D (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:D
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 1:3183 N NATIONAL RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47201-3164
Mailing Address - Country:US
Mailing Address - Phone:812-372-1581
Mailing Address - Fax:812-376-4028
Practice Address - Street 1:3183 N NATIONAL RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-3164
Practice Address - Country:US
Practice Address - Phone:812-372-1581
Practice Address - Fax:812-376-4028
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01027601207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100051790AMedicaid
000000510119OtherANTHEM
000000510119OtherANTHEM
IND94429Medicare UPIN