Provider Demographics
NPI:1295712503
Name:JONES, ESTHER MICHELE (MD)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:MICHELE
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:E
Other - Middle Name:MICHELE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 869
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46061-0869
Mailing Address - Country:US
Mailing Address - Phone:317-770-6900
Mailing Address - Fax:317-770-6911
Practice Address - Street 1:395 WESTFIELD ROAD
Practice Address - Street 2:SUITE D
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-1425
Practice Address - Country:US
Practice Address - Phone:317-776-3520
Practice Address - Fax:317-776-3522
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01047638207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000541632OtherANTHEM
INQ0195311OtherSHO
IN200162460Medicaid
IN110227642Medicare PIN
INQ0195311OtherSHO
IN177280NNMedicare PIN