Provider Demographics
NPI:1881673135
Name:JONES, RONALD (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:
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 1:3043 SANITARIUM RD
Mailing Address - Street 2:STE. 1
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-4600
Mailing Address - Country:US
Mailing Address - Phone:330-628-4044
Mailing Address - Fax:330-628-3005
Practice Address - Street 1:3043 SANITARIUM RD
Practice Address - Street 2:STE. 1
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-4600
Practice Address - Country:US
Practice Address - Phone:330-628-4044
Practice Address - Fax:330-628-3005
Is Sole Proprietor?:No
Enumeration Date:2006-01-14
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-04-9045207R00000X
OH35047668207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0520983OtherMEDICARE ID
OH0507606Medicaid
OH010026677OtherRAILROAD MEDICARE
OH000000132173OtherANTHEM
OH0403017OtherUNITED HEALTHCARE
OH729754OtherBUCKEYE COMM HEALTH PLAN
OH062OtherSUMMACARE
OH0520983OtherMEDICARE ID
OH0507606Medicaid