Provider Demographics
NPI:1972571248
Name:JONES, GREG T (MD)
Entity Type:Individual
Prefix:DR
First Name:GREG
Middle Name:T
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 11230
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72917-1230
Mailing Address - Country:US
Mailing Address - Phone:479-709-6700
Mailing Address - Fax:479-709-6751
Practice Address - Street 1:3501 WE KNIGHT DR
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-7994
Practice Address - Country:US
Practice Address - Phone:479-709-6700
Practice Address - Fax:479-709-6751
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARN8088207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100108000AOtherOKLAHOMA MEDICAID
AR17663000000OtherQUALCHOICE
AR4613329OtherAETNA
AR135105001Medicaid
AR7624563OtherCIGNA
AR54562OtherARKANSAS BLUE CROSS
AR200038810OtherRAILROAD MEDICARE
AR270963OtherUSA MCO
AR920021OtherUNITED HEALTHCARE
AR270963OtherUSA MCO
AR54562OtherARKANSAS BLUE CROSS