Provider Demographics
NPI:1457340853
Name:JONES, CRAIG ASHLEY (MD)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:ASHLEY
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 1:5 INDUSTRIAL DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649-3464
Mailing Address - Country:US
Mailing Address - Phone:508-539-2444
Mailing Address - Fax:508-539-2445
Practice Address - Street 1:5 INDUSTRIAL DR
Practice Address - Street 2:SUITE 202
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649-3464
Practice Address - Country:US
Practice Address - Phone:508-539-2444
Practice Address - Fax:508-539-2445
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-18
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA203456207Y00000X, 207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110001921AMedicaid
MA0122360Medicaid
MAS400149344Medicare PIN
MAH18316Medicare UPIN
MAHX2749Medicare PIN