Provider Demographics
NPI:1144481128
Name:JONES, JOSEPH S (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:S
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 1:12425 SHADOW LN
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-3120
Mailing Address - Country:US
Mailing Address - Phone:443-928-7477
Mailing Address - Fax:
Practice Address - Street 1:ARMY PUBLIC HEALTH COMMAND
Practice Address - Street 2:5158 BLACK HAWK RD
Practice Address - City:GUNPOWDER
Practice Address - State:MD
Practice Address - Zip Code:21010
Practice Address - Country:US
Practice Address - Phone:410-436-1012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0088840208D00000X, 2083X0100X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIVAD000Medicare UPIN