Provider Demographics
NPI:1649368911
Name:JONES, THOMAS ROBERT (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ROBERT
Last Name:JONES
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1431 PREMIER DR
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-6076
Mailing Address - Country:US
Mailing Address - Phone:507-386-6600
Mailing Address - Fax:
Practice Address - Street 1:1431 PREMIER DR
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-6076
Practice Address - Country:US
Practice Address - Phone:507-386-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI49466-020207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1649368911OtherBCBS OF MN
MN1649368911OtherAMERICA'S PPO
MN1649368911OtherRAILROAD MEDICARE
MN1649368911Medicaid
MN1649368911OtherHEALTH PARTNERS
MN1649368911OtherHUMANA
MN54143OtherMINNESOTA MEDICAL LICENSE
MN1649368911OtherPREFERRED ONE
MN1649368911OtherMEDICA/SELECT CARE
WI49466-020OtherWISCONSIN MEDICAL LICENSE
MN1649368911OtherPRIME WEST
MN1649368911OtherMMSI
MN1649368911OtherUCARE
WI49466-020OtherWISCONSIN MEDICAL LICENSE