Provider Demographics
NPI:1275517633
Name:JONES, TERRENCE H (MD)
Entity Type:Individual
Prefix:
First Name:TERRENCE
Middle Name:H
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 3077
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17604-3077
Mailing Address - Country:US
Mailing Address - Phone:717-544-5511
Mailing Address - Fax:717-544-4296
Practice Address - Street 1:130 S PENN ST
Practice Address - Street 2:
Practice Address - City:MANHEIM
Practice Address - State:PA
Practice Address - Zip Code:17545-1749
Practice Address - Country:US
Practice Address - Phone:717-665-2496
Practice Address - Fax:717-665-6345
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2017-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD019661E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA024938OtherHIGHMARK BLUE SHIELD
PA01404702OtherCAPITAL BLUE CROSS
PA5714066OtherAETNA NON-HMO
PAC27795OtherHEALTH ASSURANCE
PA578351OtherAETNA HMO
PA080104823OtherRAILROAD MEDICARE
PA0006718100001Medicaid
PA52488 S1QHOtherGEISINGER HEALTH PLAN
PAP002644OtherGATEWAY HEALTH PLAN
PA52488 S1QHOtherGEISINGER HEALTH PLAN
PA01404702OtherCAPITAL BLUE CROSS