TIMOTHY R. JONES, M.D. - NPI NUMBER 1063424331

Summary

Provider Name: TIMOTHY R. JONES, M.D.

NPI Number: 1063424331

Clasification: Plastic Surgery (208200000X)

Organization: UMASS MEMORIAL MEDICAL GROUP, INC.

Address:
50 MEMORIAL DR
LEOMINSTER, MA
ZIP 01453

Phone Number: (978) 466-4270



Detailed Information

Timothy R. Jones, M.D. is a plastic surgeon in Leominster, MA with 31 years of experience. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. The assigned NPI number for this provider is 1063424331 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year: 1983

The provider's business address is:

50 MEMORIAL DR
LEOMINSTER, MA
ZIP 01453-238
Phone: (978) 466-4270

The enumeration date for this NPI number is 8/13/2006 and was last updated on 7/11/2014.

Map - Location of Practice





Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 208200000X Plastic Surgery R4P52 MO No
2 208200000X Plastic Surgery 35099577 OH No
3 207Y00000X Otolaryngology 256844 MA Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 H103330 MEDICARE PIN OH
2 E89354 MEDICARE UPIN
3 000014469 MEDICARE ID-TYPE UNSPECIFIED
4 4206783 OTHER MO AETNA PROVIDER NUMBER
5 142569 OTHER MO HEALTHLINK PROVIDER NUMBE
6 2759638 OTHER MO CIGNA PROVIDER NUMBER
7 113393 OTHER MO BC/BS PROVIDER NUMBER

NPI Record

No. Field Name Field Value
1 NPI 1063424331
2 Entity Type Code 1
3 Provider Last Name Legal Name JONES
4 Provider First Name TIMOTHY
5 Provider Middle Name R.
6 Provider Credential Text M.D.
7 Provider First Line Business Practice Location Address 50 MEMORIAL DR
8 Provider Business Practice Location Address City Name LEOMINSTER
9 Provider Business Practice Location Address State Name MA
10 Provider Business Practice Location Address Postal Code 014532238
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 9784664270
13 Provider Enumeration Date 8/13/2006
14 Last Update Date 7/11/2014
15 Provider Gender Code M
16 Healthcare Provider Taxonomy Code 1 208200000X
17 Provider License Number 1 R4P52
18 Provider License Number State Code 1 MO
19 Healthcare Provider Primary Taxonomy Switch 1 N
20 Healthcare Provider Taxonomy Code 2 208200000X
21 Provider License Number 2 35099577
22 Provider License Number State Code 2 OH
23 Healthcare Provider Primary Taxonomy Switch 2 N
24 Healthcare Provider Taxonomy Code 3 207Y00000X
25 Provider License Number 3 256844
26 Provider License Number State Code 3 MA
27 Healthcare Provider Primary Taxonomy Switch 3 Y
28 Other Provider Identifier 1 H103330
29 Other Provider Identifier Type Code 1 08
30 Other Provider Identifier State 1 OH
31 Other Provider Identifier 2 E89354
32 Other Provider Identifier Type Code 2 02
33 Other Provider Identifier 3 000014469
34 Other Provider Identifier Type Code 3 04
35 Other Provider Identifier 4 4206783
36 Other Provider Identifier Type Code 4 01
37 Other Provider Identifier State 4 MO
38 Other Provider Identifier Issuer 4 AETNA PROVIDER NUMBER
39 Other Provider Identifier 5 142569
40 Other Provider Identifier Type Code 5 01
41 Other Provider Identifier State 5 MO
42 Other Provider Identifier Issuer 5 HEALTHLINK PROVIDER NUMBE
43 Other Provider Identifier 6 2759638
44 Other Provider Identifier Type Code 6 01
45 Other Provider Identifier State 6 MO
46 Other Provider Identifier Issuer 6 CIGNA PROVIDER NUMBER
47 Other Provider Identifier 7 113393
48 Other Provider Identifier Type Code 7 01
49 Other Provider Identifier State 7 MO
50 Other Provider Identifier Issuer 7 BC/BS PROVIDER NUMBER
51 Is Sole Proprietor N

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.