Provider Demographics
NPI:1992777254
Name:JONES, DAVID CALDWELL (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:CALDWELL
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 ALPINE DR
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:VT
Mailing Address - Zip Code:05465-2071
Mailing Address - Country:US
Mailing Address - Phone:802-899-3697
Mailing Address - Fax:
Practice Address - Street 1:111 COLCHESTER AVE FL 4
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-1473
Practice Address - Country:US
Practice Address - Phone:802-847-5698
Practice Address - Fax:802-847-3698
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT420010174207VM0101X
FLME 53915207VM0101X
VT207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VTD61517Medicare UPIN