DR. ERTLE CLENNIE JONES JR. (NPI# 1396107637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396107637 |
| Entity Type | Individual |
| Full Name | DR. ERTLE CLENNIE JONES JR. |
| Credential | MD |
| Practice Address |
119 Bulifants Blvd Williamsburg VA 23188-5747 |
| Practice Telephone | 7575647337 |
| Mailing Telephone | 7575647337 |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2019-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0101267098 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 Childrens Ln, Norfolk, VA 235071910 | 7576687272 |
| Street Address |
119 BULIFANTS BLVD |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23188-5747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508850454 | Elizabeth De Falcon | Pediatrics | 119 Bulifants Blvd, Williamsburg, VA 23188-5747 | 2005-09-07 |
| 1770855157 | Childrens Hospital of The Kings Daughters Inc | Clinical Medical Laboratory | 119 Bulifants Blvd, Williamsburg, VA 23188-5709 | 2012-02-01 |
| 1699046078 | Childrens Hospital of The Kings Daughters Inc | Clinic/Center | 119 Bulifants Blvd, Williamsburg, VA 23188-5709 | 2012-01-18 |
| 1285856948 | Amanda Scott Lereche | Occupational Therapist | 119 Bulifants Blvd, Suite B, Williamsburg, VA 23188-5709 | 2007-05-03 |
| 1982825345 | Wanda Green | Occupational Therapist | 119 Bulifants Blvd, Suite B, Williamsburg, VA 23188-5709 | 2007-05-02 |
| 1518187582 | Andrea R Harris | Occupational Therapist | 119 Bulifants Blvd, Suite B, Williamsburg, VA 23188-5709 | 2007-05-01 |
| 1447305057 | Childrens Medical Group Inc | Pediatrics | 119 Bulifants Blvd, Williamsburg, VA 23188-5709 | 2007-01-24 |
| 1003850744 | Mark C Downey | Pediatrics | 119 Bulifants Blvd, Williamsburg, VA 23188-5709 | 2006-06-15 |
| 1366480220 | Beverly Charlier Coleman | Nurse Practitioner | 119 Bulifants Blvd, Williamsburg, VA 23188-5709 | 2006-06-03 |
| 1770521593 | Jane Francis Henley | Nurse Practitioner | 119 Bulifants Blvd, Williamsburg, VA 23188-5709 | 2006-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
| 1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
| 1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
| 1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
| 1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
| 1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
| 1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
| 1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
| 1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
| 1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
| Find all providers in zip 23188 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942663737 | Daniel Carr | Pediatrics | 135 W Landing, Williamsburg, VA 23185-8255 | 2016-03-30 |
| 1376928234 | County Pediatrics, P.l.l.c. | Pediatrics | 2109 Harpers Ml, Williamsburg, VA 23185-7521 | 2015-07-21 |
| 1417922444 | Cynthia T Portal | Pediatrics | 108 Harbourside, Williamsburg, VA 23188-8004 | 2006-02-22 |
| 1639144686 | Steven C Mares | Pediatrics | 1162 Professional Dr, Williamsburg, VA 23185 | 2006-02-22 |
| 1780658260 | Jennifer J Altman | Pediatrics | 4374 New Town Ave, Ste 202, Williamsburg, VA 23188-2865 | 2006-02-14 |
| 1508850454 | Elizabeth De Falcon | Pediatrics | 119 Bulifants Blvd, Williamsburg, VA 23188-5747 | 2005-09-07 |
| 1265668578 | Sentara Medical Group | Pediatrics | 400 Sentara Cir, Suite 310, Williamsburg, VA 23188-5716 | 2009-06-02 |
| 1174718514 | Roger Hobart Perry | Pediatrics | 5249 Olde Towne Rd, Suite D, Williamsburg, VA 23188-8111 | 2007-09-10 |
| 1720106149 | Sentara Medical Group | Pediatrics | 4374 New Town Ave, Ste 202, Williamsburg, VA 23188-2865 | 2007-03-26 |
| 1447305057 | Childrens Medical Group Inc | Pediatrics | 119 Bulifants Blvd, Williamsburg, VA 23188-5709 | 2007-01-24 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 23188 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.