SHANNON JENKINS (NPI# 1023083680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023083680 |
| Entity Type | Individual |
| Full Name | SHANNON JENKINS |
| Credential | DO |
| Practice Address |
2860 Channing Way Suite 100 Idaho Falls ID 83404-7531 |
| Practice Telephone | 2085354575 |
| Practice Fax Number | 2085354569 |
| Mailing Telephone | 2085354575 |
| Mailing Fax Number | 2085354569 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2008-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
O0424 | ID | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
3863 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0117377 | 05 | |
| ID | 121542600 | 05 | |
| WY | 1285786046 | 05 | |
| WY | 121542600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255867420 | Shannon Jenkins | Massage Therapist | 1307 Jamestown Rd, Suite 103, Williamsburg, VA 23185 | 2017-05-10 |
| 1205223484 | Shannon Marie Jenkins | Internal Medicine | 1250 E Marshall St, Box 980509, Richmond, VA 23298-5051 | 2015-04-24 |
| 1831531839 | Shannon Leigh Jenkins | Social Worker | 8931 Huron St, Thornton, CO 80260-6806 | 2013-07-19 |
| 1912262239 | Shannon C Jenkins | Massage Therapist | 9263 Medical Plaza Dr, Ste D, Charleston, SC 29406-7109 | 2012-07-12 |
| 1851458509 | Shannon Jean Jenkins | Registered Nurse | 1601 Yosemite Blvd, Suite A, Modesto, CA 95354-2800 | 2007-01-02 |
| Street Address |
2860 CHANNING WAY SUITE 100 |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-7531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801896717 | Brian E O'byrne | Surgery | 2860 Channing Way, Ste 117, Idaho Falls, ID 83404-7532 | 2005-07-21 |
| 1114447406 | Brandi Jo Smith | Nurse Practitioner | 2860 Channing Way, Suite 115, Idaho Falls, ID 83404 | 2017-06-27 |
| 1801288782 | Rocky Mountain Holdings, LLC | Ambulance | 2860 Channing Way, #206, Idaho Falls, ID 83404 | 2015-03-02 |
| 1831435163 | Idaho Behavioral Health Services, LLC | Psychiatry & Neurology | 2860 Channing Way, #100, Idaho Falls, ID 83404 | 2012-12-13 |
| 1679818025 | Eastern Idaho Regional Medical Center Inpatient Services, LLC | Internal Medicine | 2860 Channing Way, Suite 100, Idaho Falls, ID 83404-7531 | 2012-12-11 |
| 1013271899 | Joseph Murdock Strobel | Internal Medicine | 2860 Channing Way, Suite 213, Idaho Falls, ID 83404-7541 | 2012-06-27 |
| 1205125259 | Emily Ann Cowles | Dietitian, Registered | 2860 Channing Way, Suite 115, Idaho Falls, ID 83404-7531 | 2011-03-30 |
| 1376858878 | East Falls Cardiovascular and Thoracic Surgery, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2860 Channing Way, Ste 112, Idaho Falls, ID 83404-7532 | 2010-08-10 |
| 1104065861 | R.k. Arbon, M.d., P.a. | Family Medicine | 2860 Channing Way, Suite 116, Idaho Falls, ID 83404-7531 | 2009-02-19 |
| 1023267895 | East Falls Plastic Surgery LLC | Plastic Surgery | 2860 Channing Way, Suite 114a, Idaho Falls, ID 83404-7531 | 2008-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114346749 | Jordan Simpson | Pediatrics | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2014-04-10 |
| 1710277215 | Shelly Haug | Pediatrics | 3100 Channing Way, Idaho Falls, ID 83404 | 2011-04-18 |
| 1790939056 | Neonatal Associates, Pllc | Pediatrics | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2008-11-12 |
| 1285786046 | Patients First Neonatology LLC | Pediatrics | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2007-01-18 |
| 1518995026 | Robert Wycliffe Cheatham IIi | Pediatrics | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144269747 | Stewart Lawrence | Pediatrics | 6030 W Emerald St, Boise, ID 83704-8855 | 2006-06-06 |
| 1619263563 | Timothy J Ulrich | Pediatrics | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2011-06-20 |
| 1316191976 | Brook Yuknis Lang | Pediatrics | 2003 Kootenai Health Way, Coeur D Alene, ID 83814 | 2008-11-10 |
| 1427222868 | Lisa Lynn Mcgill-vargas | Pediatrics | 2003 Kootenai Health Way, Coeur D Alene, ID 83814 | 2008-04-16 |
| 1780870360 | Nathan L Thornton | Pediatrics | 190 E Bannock St, Boise, ID 83712-6241 | 2007-09-18 |
| 1083825509 | Maggie Chen | Pediatrics | 2003 Kootenai Health Way, Coeur D Alene, ID 83814 | 2007-05-25 |
| 1558495796 | James W Vanlooy | Pediatrics | 190 E Bannock St, Boise, ID 83712-6241 | 2007-03-16 |
| 1619018470 | Kimberly Judd | Pediatrics | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2007-02-12 |
| 1598828378 | Erik N Meyers | Pediatrics | 190 E Bannock St, Boise, ID 83712-6241 | 2006-12-19 |
| 1790866044 | Kendra Mae Black-smith | Pediatrics | 2003 Kootenai Health Way, Coeur D Alene, ID 83814 | 2006-10-17 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.