Basic Information
| Provider Information | |||||||||
| NPI: | 1275517633 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JONES | ||||||||
| FirstName: | TERRENCE | ||||||||
| MiddleName: | H | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 3077 | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 176043077 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7175445511 | ||||||||
| FaxNumber: | 7175444296 | ||||||||
| Practice Location | |||||||||
| Address1: | 130 S PENN ST | ||||||||
| Address2: | |||||||||
| City: | MANHEIM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 175451749 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7176652496 | ||||||||
| FaxNumber: | 7176656345 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/30/2005 | ||||||||
| LastUpdateDate: | 08/23/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD019661E | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 024938 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 01404702 | 01 | PA | CAPITAL BLUE CROSS | OTHER | 5714066 | 01 | PA | AETNA NON-HMO | OTHER | C27795 | 01 | PA | HEALTH ASSURANCE | OTHER | 578351 | 01 | PA | AETNA HMO | OTHER | 080104823 | 01 | PA | RAILROAD MEDICARE | OTHER | 0006718100001 | 05 | PA | MEDICAID | 52488 S1QH | 01 | PA | GEISINGER HEALTH PLAN | OTHER | P002644 | 01 | PA | GATEWAY HEALTH PLAN | OTHER |