Provider Demographics
NPI:1649230483
Name:JONES, ANDREW RAWDON (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:RAWDON
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 1:14201 LAUREL PARK DR STE 111
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5203
Mailing Address - Country:US
Mailing Address - Phone:301-604-3228
Mailing Address - Fax:301-604-0073
Practice Address - Street 1:11055 LITTLE PATUXENT PKWY STE L1
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2897
Practice Address - Country:US
Practice Address - Phone:410-740-7030
Practice Address - Fax:410-740-7033
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0084370207XX0005X, 207X00000X
VA0101263219207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8946761Medicaid
NC8946761Medicaid
NC4518920001Medicare PIN
NC8946761Medicaid