Provider Demographics
NPI:1376518522
Name:JONES, EVERETTE GARNETT (MD)
Entity Type:Individual
Prefix:
First Name:EVERETTE
Middle Name:GARNETT
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 17951
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80402-6032
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2005 FRANKLIN ST
Practice Address - Street 2:SUITE 490
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5412
Practice Address - Country:US
Practice Address - Phone:303-894-9800
Practice Address - Fax:303-894-9805
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2008-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18166207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01181668Medicaid
D23402Medicare UPIN
C47101Medicare ID - Type Unspecified