Provider Demographics
NPI:1578549283
Name:JONES, WAYNE T (DO)
Entity Type:Individual
Prefix:
First Name:WAYNE
Middle Name:T
Last Name:JONES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4950 BUFFALO RD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16510-2304
Mailing Address - Country:US
Mailing Address - Phone:814-899-7000
Mailing Address - Fax:
Practice Address - Street 1:232 W 25TH ST STE F01030
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16544-2304
Practice Address - Country:US
Practice Address - Phone:814-452-7878
Practice Address - Fax:814-452-7883
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS006865L207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine