Jonathan M Jones, DO | |
114 W. 11th Street, Hms Med Square Clinic, Silver City, NM 88061-5136 | |
(575) 388-1511 | |
(575) 542-8367 |
Full Name | Jonathan M Jones |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 114 W. 11th Street, Silver City, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982826855 | NPI | - | NPPES |
NMA1029998 | Other | NM | MEDICARE PTAN |
53286758 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4615 (Arizona) | Secondary |
208000000X | Pediatrics | A-1692-12 (New Mexico) | Primary |
Entity Name | Banner Primary Care Physicians Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417238908 PECOS PAC ID: 6406020155 Enrollment ID: O20111115000898 |
Entity Name | Banner Childrens Banner Health Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407191216 PECOS PAC ID: 2466697735 Enrollment ID: O20130315000131 |
Mailing Address | Practice Location Address |
---|---|
Jonathan M Jones, DO 530 Demoss Street, Hidalgo Medical Services, Lordsburg, NM 88045-2618 Ph: (575) 542-8384 | Jonathan M Jones, DO 114 W. 11th Street, Hms Med Square Clinic, Silver City, NM 88061-5136 Ph: (575) 388-1511 |
Donald F. Johnson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 114 W 11th St, Hms Med Square, Silver City, NM 88061 Phone: 575-388-1511 Fax: 575-388-3465 | |
Sam W Lew, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 E 32nd St, Silver City, NM 88061 Phone: 575-538-2981 Fax: 855-653-5171 | |
Dr. Raymer William Seavers, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1302 E 32nd St, Va Community Clinic, Silver City, NM 88061 Phone: 505-538-2921 Fax: 505-388-9260 | |
Dr. Brian Etheridge, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1007 N Pope St, Silver City, NM 88061 Phone: 575-388-1511 Fax: 575-313-8236 | |
Dr. Lindsay Andre Worrell, M.B. B.S. FAAP Pediatrics Medicare: Medicare Enrolled Practice Location: 1313 E 32nd St, Silver City, NM 88061 Phone: 575-956-5909 | |
Barbara James Mora, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 E 32nd St, Silver City, NM 88061 Phone: 575-538-2981 Fax: 575-388-3373 | |
Dr. Vladimir Spira, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 114 W 11th St, Silver City, NM 88061 Phone: 575-388-1511 Fax: 575-388-3465 |