Individual
TIMOTHY R. JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 S 5TH ST STE 401, ENID, OK 73701-5863
(580) 249-3898
(580) 234-9625
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
(580) 249-3898
(580) 234-9625
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
256844
MA
207Y00000X
Otolaryngology Physician
Primary
31852
OK
208200000X
Plastic Surgery Physician
35099577
OH
208200000X
Plastic Surgery Physician
R4P52
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113393
BC/BS PROVIDER NUMBER
MO
01
—
142569
HEALTHLINK PROVIDER NUMBE
MO
01
—
2759638
CIGNA PROVIDER NUMBER
MO
01
—
4206783
AETNA PROVIDER NUMBER
MO
Enumeration date
08/13/2006
Last updated
12/18/2019
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