Provider Demographics
NPI:1295794519
Name:JONES, DOUGLAS ROSCOE (MD)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:ROSCOE
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:20 EXPEDITION TRAIL SUITE 101
Mailing Address - Street 2:SATISH A. SHAH, M.D., P.C.
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-8394
Mailing Address - Country:US
Mailing Address - Phone:717-334-4033
Mailing Address - Fax:717-334-5599
Practice Address - Street 1:20 EXPEDITION TRAIL SUITE 101
Practice Address - Street 2:SATISH A. SHAH, M.D., P.C.
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-8394
Practice Address - Country:US
Practice Address - Phone:717-334-4033
Practice Address - Fax:717-334-5599
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE18443207RH0003X
PAMD039933L207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1019092450003Medicaid
NE10025357600Medicaid
PA101909245 0001Medicaid
NE10025357600Medicaid
C33742Medicare UPIN
NE280287Medicare ID - Type Unspecified
PA1019092450003Medicaid
PAP00812890Medicare PIN
PA418240Medicare PIN