Provider Demographics
NPI:1548239072
Name:JONES, MOSES C JR (MD)
Entity Type:Individual
Prefix:
First Name:MOSES
Middle Name:C
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 1:1234 SE MAGNOLIA EXT., UNIT 1
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471
Mailing Address - Country:US
Mailing Address - Phone:352-401-1218
Mailing Address - Fax:352-401-1017
Practice Address - Street 1:1234 SE MAGNOLIA EXT., UNIT 1
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471
Practice Address - Country:US
Practice Address - Phone:352-401-1218
Practice Address - Fax:352-401-1017
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS18012207T00000X
WI55783-20207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS753068151OtherMS HEALTH PARTNERS
MS753068151OtherTRICARE
MS03159827Medicaid
300002200OtherUS DEPT OF LABOR
MS753068151OtherMS PHYSICIANS CARE NETWOR
300002200OtherUS DEPT OF LABOR
MS753068151OtherTRICARE
MS$$$$$$$$$OtherUHC
300002200OtherUS DEPT OF LABOR