Provider Demographics
NPI:1477669984
Name:JONES, DERRICK D (MD)
Entity Type:Individual
Prefix:DR
First Name:DERRICK
Middle Name:D
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 306959
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00803-6959
Mailing Address - Country:US
Mailing Address - Phone:877-464-9046
Mailing Address - Fax:866-703-0255
Practice Address - Street 1:9003 HAVENSIGHT SHOPP CTR BLDG 3
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2666
Practice Address - Country:US
Practice Address - Phone:340-643-5876
Practice Address - Fax:866-703-0255
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI1082207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VIG28393Medicare UPIN
VI85438BMedicare PIN
PR83721CMedicare PIN