MARK S. JONES (NPI# 1902864887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902864887 |
| Entity Type | Individual |
| Full Name | MARK S. JONES |
| Credential | M.D. |
| Practice Address |
1108 S Henderson St Fort Worth TX 76104-4430 |
| Mailing Address |
Po Box 99371 Fort Worth TX 76199-0371 |
| Practice Telephone | 8173353255 |
| Practice Fax Number | 8173389563 |
| Mailing Telephone | 6828851855 |
| Mailing Fax Number | 6828857347 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2015-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | K2724 | TX | Allopathic & Osteopathic Physicians |
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
K2724 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | AMERIGROUP | 10024439 | 01 |
| TX | AETNA | 5723731 | 01 |
| TX | BCBS | 83215X | 01 |
| TX | 111951304 | 05 | |
| TX | 111951901 | 05 | |
| TX | MEDICAID EPSDT | 130900703 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225658 | Mark Jones | Massage Therapist | 4143 Mission Tree Way, Oceanside, CA 92057-6472 | 2020-11-02 |
| 1184136905 | Mark Jones | Counselor | 120 N Fountain Ave, Springfield, OH 45502-1163 | 2017-11-02 |
| 1922452945 | Mark Ryan Jones | Student in an Organized Health Care Education/Training Program | 75 Francis St # Ca-034, Boston, MA 02115-6110 | 2016-04-15 |
| 1427434091 | Mark Jones Jr. | Pharmacist | 21428 Montclare Blvd, Strongsville, OH 44149-1257 | 2015-08-06 |
| 1043594211 | Mark D Jones | Pharmacist | 1200 War Memorial Drive, Peoria Heights, IL 61616-7723 | 2011-10-05 |
| 1912130501 | Mark David Jones | Counselor | 4505 Se 48th St, Oklahoma City, OK 73135-3213 | 2009-08-28 |
| 1427296466 | Mark Burton Jones | Dentist | 4685 Eldorado Pkwy Ste 200, Frisco, TX 75034-0290 | 2009-01-29 |
| 1902051626 | Mark Wayne Jones | Counselor | 3828 E 29th Ave, Spokane, WA 99223-5765 | 2008-11-21 |
| 1366630063 | Mark F Jones | Marriage & Family Therapist | 11202 Disco, San Antonio, TX 78216-2860 | 2007-10-09 |
| 1760509665 | Mark Anthony Jones | Counselor | 5526 Grand Prix Ct, Fontana, CA 92336-0102 | 2007-03-23 |
| Street Address |
1108 S HENDERSON ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-4430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295736254 | Robert Mitchell Readinger | Pediatrics | 1108 S Henderson St, Fort Worth, TX 76104-4430 | 2005-08-02 |
| 1841637030 | Rachel Gambulos Hamilton | Pediatrics | 1108 S Henderson St, Fort Worth, TX 76104-4430 | 2013-05-28 |
| 1710219795 | Fort Worth Pediatrics | Pediatrics | 1108 S Henderson St, Fort Worth, TX 76104-4430 | 2010-02-02 |
| 1902048341 | Monica Milind Pradhan | Pediatrics | 1108 S Henderson St, Fort Worth, TX 76104-4430 | 2009-03-31 |
| 1972745644 | Jennifer Gittleman | Emergency Medicine | 1108 S Henderson St, Fort Worth, TX 76104-4430 | 2009-03-27 |
| 1972623031 | Fort Worth Pediatrics, P.a. | Pediatrics | 1108 S Henderson St, Fort Worth, TX 76104-4430 | 2007-03-30 |
| 1740377175 | Gary B Strong | Pediatrics | 1108 S Henderson St, Fort Worth, TX 76104-4430 | 2006-10-06 |
| 1871551754 | R.l.stinson Jones | Pediatrics | 1108 S Henderson St, Fort Worth, TX 76104-4430 | 2006-05-02 |
| 1427016476 | Ramiro D. Cavazos | Pediatrics | 1108 S Henderson St, Fort Worth, TX 76104-4430 | 2006-05-01 |
| 1881651230 | William B. Scroggie | Pediatrics | 1108 S Henderson St, Fort Worth, TX 76104-4430 | 2006-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| 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 |
|---|---|---|---|---|
| 1376165191 | Telemedicine Advantage Concierge Urgent Care | Pediatrics | 4200 South Fwy Ste 100, Fort Worth, TX 76115-1407 | 2020-05-14 |
| 1942776638 | Melissa S Wright | Pediatrics | 6115 Camp Bowie Blvd, Fort Worth, TX 76116-5512 | 2018-10-19 |
| 1366975336 | Pragadeeswari Dhanasekaran | Pediatrics | 5887 Chesapeake Pl, Fort Worth, TX 76132-2660 | 2017-04-06 |
| 1275898280 | Suvarna Kolluri | Pediatrics | 9509 N Beach St Ste 102, Fort Worth, TX 76244-6399 | 2012-07-06 |
| 1881999613 | Joyce Keck Rafati | Pediatrics | 1263 W Rosedale St, Fort Worth, TX 76104-2801 | 2011-01-26 |
| 1386886802 | Eriel Hayes | Pediatrics | 3200 Riverfront Dr Ste 103, Fort Worth, TX 76107-6560 | 2009-03-30 |
| 1194980011 | Cherryll Phoebe Taruc Libed | Pediatrics | 4701 Bryant Irvin Rd. N, Jps Viola Pitts/como, Fort Worth, TX 76107-4917 | 2008-07-21 |
| 1366605735 | Carolyn Margaret Lentzsch-parcells | Pediatrics | 4200 South Hulen Stree, Suite 450, Fort Worth, TX 76109 | 2008-07-07 |
| 1366627655 | Courtney M Carter | Pediatrics | 3201 Western Center Blvd, Suite 125, Fort Worth, TX 76137-7134 | 2008-01-04 |
| 1902017494 | Raheela Hafeez,m.d., P.a. | Pediatrics | 855 Montgomery Street, Fort Worth, TX 76107-2553 | 2007-05-25 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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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.