Individual
MARK A. JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7916 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 432-2297
(260) 434-6433
Mailing address
250 N SHADELAND AVE, STE 200, INDIANAPOLIS, IN 46219-4959
(317) 963-2720
(317) 962-4343
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
01025378A
IN
207RC0000X
Cardiovascular Disease Physician
01025378A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000087412
ANTHEM
IN
05
—
0494559
—
OH
05
—
100054160
—
IN
01
—
P00783715
RAILROAD
—
Enumeration date
01/23/2006
Last updated
12/27/2019
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