Provider Demographics
NPI:1871604165
Name:JONES, OREY MICHAEL (CRNA)
Entity type:Individual
Prefix:
First Name:OREY
Middle Name:MICHAEL
Last Name:JONES
Suffix:
Gender:
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 NE DOYLE DR
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-4692
Mailing Address - Country:US
Mailing Address - Phone:512-431-1600
Mailing Address - Fax:
Practice Address - Street 1:2901 NE DOYLE DR
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-4692
Practice Address - Country:US
Practice Address - Phone:512-431-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2025-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR859892367500000X
TX828741367500000X
TXAP121998367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX307361102Medicaid
MS06007737Medicaid
TX8040UEOtherBCBS TX
MS430001903Medicare ID - Type Unspecified
MS06007737Medicaid