Provider Demographics
NPI:1548235435
Name:JONES, MICHAEL B (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:B
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8901 INDIAN HILLS DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-4057
Mailing Address - Country:US
Mailing Address - Phone:402-397-7057
Mailing Address - Fax:402-397-6656
Practice Address - Street 1:8901 INDIAN HILLS DR
Practice Address - Street 2:SUITE 200
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4057
Practice Address - Country:US
Practice Address - Phone:402-397-7057
Practice Address - Fax:402-397-6656
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2009-12-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE13092207RG0100X
IA31046207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47077295213Medicaid
B67792Medicare UPIN
NE47077295213Medicaid