Provider Demographics
NPI:1316909112
Name:JONES, SIDNEY RIVERS III (MD)
Entity type:Individual
Prefix:
First Name:SIDNEY
Middle Name:RIVERS
Last Name:JONES
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7001 FOREST AVE
Mailing Address - Street 2:STE. 2500
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-1726
Mailing Address - Country:US
Mailing Address - Phone:804-282-7857
Mailing Address - Fax:804-282-7899
Practice Address - Street 1:7001 FOREST AVE
Practice Address - Street 2:STE. 2500
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-1726
Practice Address - Country:US
Practice Address - Phone:804-282-7857
Practice Address - Fax:804-282-7899
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2009-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101048114207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA122918OtherSOUTHERN HEALTH SERVICES
VA110217729OtherRAILROAD MEDICARE
VA43929OtherSENTARA
VA291355OtherMAMSI
VA4293090OtherAETNA LIFE
VA6662949OtherCIGNA
VA010017092Medicaid
VA215819OtherANTHEM BCBS OF VA
VA4293090OtherAETNA HMO
VA291355OtherMAMSI
VA43929OtherSENTARA