Provider Demographics
NPI:1740245570
Name:JONES, THOMAS ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ARTHUR
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 1:1110 W MICHIGAN ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-5209
Mailing Address - Country:US
Mailing Address - Phone:317-278-0310
Mailing Address - Fax:
Practice Address - Street 1:1 AMERICAN SQ
Practice Address - Street 2:SUITE 185
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46282-0020
Practice Address - Country:US
Practice Address - Phone:317-278-6161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01023459A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
INE-35898Medicare UPIN
IN068010 CMedicare ID - Type Unspecified