MR. ROBERT RANDALL JONES JR. (NPI# 1912015330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912015330 |
| Entity Type | Individual |
| Full Name | MR. ROBERT RANDALL JONES JR. |
| Credential | MD |
| Practice Address |
1951 Bench Rd #c Pocatello ID 83201 |
| Practice Telephone | 2082383377 |
| Practice Fax Number | 2082388091 |
| Mailing Telephone | 2082383377 |
| Mailing Fax Number | 2082388091 |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2008-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | M6955 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 000223700 | 05 | |
| ID | MEDICARE PTAN | 11344491 | 01 |
| R/R MEDICARE | 180029065 | 01 | |
| ID | B/C | 19554 | 01 |
| ID | B/S | 000010001691 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920868 | Robert Nicholas Jones | Physical Therapist | 3827 Jimmy Lee Smith Pkwy Ste 122, Hiram, GA 30141-2804 | 2020-07-28 |
| 1447896675 | Robert Leslie Jones | Counselor | 300 Hunters Rd Apt 505, Huntersville, NC 28078-9092 | 2019-11-22 |
| 1932754819 | Robert Allen Jones | Pharmacist | 1308 Narrows Point Bnd, Birmingham, AL 35242-8676 | 2019-08-07 |
| 1376069823 | Robert L Jones | Technician | 4636 Easy Pl Se, Washington, DC 20019-5723 | 2017-08-16 |
| 1316307333 | Robert L Jones | Social Worker | 1623 Lowell Ave, Butte, MT 59701-5450 | 2016-03-03 |
| 1780061986 | Robert Jones | Pathology | 901 Rangeline St, Columbia, MO 65201-4562 | 2015-04-27 |
| 1841681665 | Robert Louis Jones | Counselor | 1227 Augusta West Pkwy Ste 5, Augusta, GA 30909-6670 | 2015-02-16 |
| 1508271347 | Robert Preston Jones | Dentist | 3603 Doral Dr, Little Rock, AR 72212-2919 | 2014-06-30 |
| 1629490289 | Robert Jones | Counselor | 297 Del Chadbourne Rd, Bridgton, ME 04009-4548 | 2014-01-15 |
| 1740602887 | Robert Jones | Specialist/Technologist | 7501 Teasley Ln, Denton, TX 76210-2053 | 2014-01-08 |
| Street Address |
1951 BENCH RD #C |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982690863 | William G Sabel | Nurse Practitioner | 1951 Bench Rd, Suite B, Pocatello, ID 83201-2073 | 2005-09-26 |
| 1528414513 | Mandy Smith | Physical Therapy Assistant | 1951 Bench Rd, Suite E, Pocatello, ID 83201-2013 | 2016-05-09 |
| 1184083818 | Nicolette Hampton | Nurse Practitioner | 1951 Bench Rd, Ste B, Pocatello, ID 83201-2013 | 2016-02-23 |
| 1306105598 | Dna With Tina LLC | Nurse Practitioner | 1951 Bench Rd, Pocatello, ID 83201-2073 | 2012-05-09 |
| 1164717419 | Zachary Bryant Warnock | Family Medicine | 1951 Bench Rd, Suite B, Pocatello, ID 83201-2013 | 2011-06-15 |
| 1548581390 | John Abraham Fenstermaker | Family Medicine | 1951 Bench Rd, Suite B, Pocatello, ID 83201-2013 | 2010-06-16 |
| 1922236454 | Blaine Olsen | Family Medicine | 1951 Bench Rd, Ste B, Pocatello, ID 83201-2073 | 2009-06-23 |
| 1730340365 | Travis Dale Nielsen | Family Medicine | 1951 Bench Rd, Suite B, Pocatello, ID 83201-2073 | 2008-06-17 |
| 1619095734 | Gate City Physical Therapy | Physical Therapist | 1951 Bench Rd, Suite E, Pocatello, ID 83201-2073 | 2007-03-27 |
| 1477625283 | Highland Physical Therapy LLC | Specialist | 1951 Bench Rd, Suite E, Pocatello, ID 83201 | 2006-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184708703 | Richard Lowen Elliott | Ophthalmology | 500 South 11th Ave, Suite 206, Pocatello, ID 83201 | 2006-10-24 |
| 1205895208 | Charles Pittman Lawless | Ophthalmology | 1777 East Clark Steet, Suite 310, Pocatello, ID 83201-3357 | 2006-03-20 |
| 1598750838 | John M Fornarotto | Ophthalmology | 246 N 18th Ave, Pocatello, ID 83201-3356 | 2005-09-13 |
| 1790838662 | John Fornarotto Pllc | Ophthalmology | 246 N 18th Ave, Pocatello, ID 83201-3356 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104461649 | Bonner General Hospital, Inc | Ophthalmology | 423 N 3rd Ave Ste 102, Sandpoint, ID 83864-1511 | 2019-11-07 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1255678546 | John S Kundrat, Md Pa | Ophthalmology | 3316 4th St, Bldg 3, Lewiston, ID 83501-4405 | 2013-01-07 |
| 1093071219 | Cassandra White | Ophthalmology | 2720 W Cherry Ln, Meridian, ID 83642-1137 | 2012-04-02 |
| 1295050110 | Ali Torab Parhiz | Ophthalmology | 901 N Curtis Rd Ste 302, Boise, ID 83706-1341 | 2010-04-03 |
| 1861727323 | Kyle Nathaniel Klingler | Ophthalmology | 1415 Parkview Dr., Twin Falls, ID 83301-3250 | 2009-10-15 |
| 1720248305 | James Benjamin Earl | Ophthalmology | 13923 W. Wainwright Dr Ste 301, Boise, ID 83713 | 2008-06-17 |
| 1881894517 | Joshua R Fullmer Md Pllc | Ophthalmology | 381 E 4th N Ste 100, Rexburg, ID 83440-1684 | 2007-07-20 |
| 1093911133 | Eye Clinic of Idaho Falls,pa | Ophthalmology | 530 S Holmes Ave, Idaho Falls, ID 83401-4751 | 2007-06-25 |
| 1942345228 | Alan Wallace Mcinnes Jr. | Ophthalmology | 323 E Riverside Dr, Suite 136, Eagle, Eagle, ID 83616-6865 | 2007-02-21 |
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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.