Provider Demographics
NPI:1194783472
Name:JONES, JOEL S (DO)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:S
Last Name:JONES
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 CASCADE LN
Mailing Address - Street 2:
Mailing Address - City:CAVE SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72718-9430
Mailing Address - Country:US
Mailing Address - Phone:479-685-8837
Mailing Address - Fax:
Practice Address - Street 1:3000 MEDICAL CENTER PKWY
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-3217
Practice Address - Country:US
Practice Address - Phone:479-553-1010
Practice Address - Fax:479-553-1918
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-3967207P00000X, 207Q00000X, 208D00000X
GA91108207Q00000X
OH34C.000045207Q00000X
TXT2895207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR154268003Medicaid
AR5M869Medicare PIN
AR154268003Medicaid