Provider Demographics
NPI:1316982259
Name:JAY STANLEY JONES, M.D., P.A.
Entity type:Organization
Organization Name:JAY STANLEY JONES, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAY
Authorized Official - Middle Name:STANLEY
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:316-684-8211
Mailing Address - Street 1:1515 S CLIFTON AVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67218-2900
Mailing Address - Country:US
Mailing Address - Phone:316-684-8211
Mailing Address - Fax:316-691-6710
Practice Address - Street 1:1515 S CLIFTON AVE
Practice Address - Street 2:SUITE 130
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67218-2900
Practice Address - Country:US
Practice Address - Phone:316-684-8211
Practice Address - Fax:316-691-6710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS110608OtherBC/BS
KS110608Medicare ID - Type Unspecified