| Lasonya Jones, | |
| 5450 Far Hills Ave Ste 110, Kettering, OH 45429-2346 | |
| (937) 436-2866 | |
| (937) 436-1468 | 
| Full Name | Lasonya Jones | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 5450 Far Hills Ave Ste 110, Kettering, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1871662270 | NPI | - | NPPES | 
| 0423334 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 35.087979 (Ohio) | Primary | 
| 208000000X | Pediatrics | 2017-02187 (North Carolina) | Secondary | 
| Entity Name | Carolinas Physicians Network Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819 | 
| Entity Name | Charlotte Pediatric Clinic | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1710914171 PECOS PAC ID: 1658263298 Enrollment ID: O20040327000227 | 
| Entity Name | University Pediatrics | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073541124 PECOS PAC ID: 1951579481 Enrollment ID: O20110727000416 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lasonya Jones, Po Box 933432, Cleveland, OH 44193-0039 Ph: (937) 641-5072 | Lasonya Jones, 5450 Far Hills Ave Ste 110, Kettering, OH 45429-2346 Ph: (937) 436-2866 | 
| Ragheed Katkhuda, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-752-2304 Fax: 937-522-7620 | |
| Dr. Loren Ann Nallu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-752-2304 Fax: 937-522-7620 | |
| Jennifer Marie Conlon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5450 Far Hills Ave Ste 110, Kettering, OH 45429 Phone: 937-436-2866 Fax: 937-436-1468 | |
| Phyllis R Elinson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1775 Delco Park Drive, Kettering, OH 45420 Phone: 937-299-2587 Fax: 937-299-0124 | |
| Wendy L Blumberg, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1775 Delco Park Drive, Kettering, OH 45420 Phone: 937-299-2587 Fax: 937-299-0124 | |
| James A. Bryant, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1775 Delco Park Drive, Kettering, OH 45420 Phone: 937-299-2587 Fax: 937-299-0124 | |
| Dr. Angela Lynne Isbel, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-752-2304 Fax: 937-395-8814 |