Provider Demographics
NPI:1346234598
Name:JONES, THOMAS B JR (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:B
Last Name:JONES
Suffix:JR
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 1:1552 NORTH RD SE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-2957
Mailing Address - Country:US
Mailing Address - Phone:330-856-1070
Mailing Address - Fax:330-856-6186
Practice Address - Street 1:1552 NORTH RD SE
Practice Address - Street 2:SUITE 101
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-2957
Practice Address - Country:US
Practice Address - Phone:330-856-1070
Practice Address - Fax:330-856-6186
Is Sole Proprietor?:No
Enumeration Date:2005-09-02
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35061708207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0901448Medicaid
OH0901448Medicaid
OHF31239Medicare UPIN
OHJO4074231Medicare ID - Type Unspecified