TIFFANY JEN (NPI# 1083110597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083110597 |
| Entity Type | Individual |
| Full Name | TIFFANY JEN |
| Credential | MD |
| Practice Address |
W3985 County Road Nn Elkhorn WI 53121-4337 |
| Practice Telephone | 2627412121 |
| Mailing Telephone | 2627412121 |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2020-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 8378851 | WI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 238850 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649689464 | Tiffany Jen | Internal Medicine | 39000 Bob Hope Dr, Ub 2nd Floor, Rancho Mirage, CA 92270-3221 | 2014-08-06 |
| Street Address |
W3985 COUNTY ROAD NN |
| City | ELKHORN |
| State | WI |
| Zip Code | 53121-4337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568466019 | Abdullah A Fayyad | Internal Medicine | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2005-06-10 |
| 1881202919 | Alexandra Sharapova | Dietitian, Registered | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2020-07-15 |
| 1619505963 | Melissa Folstad | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2020-03-31 |
| 1700414091 | Kaitlin Pellicano | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2020-03-31 |
| 1548898059 | Rabeea Rafiq Lodhra | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2020-03-30 |
| 1750919510 | Lindsey Elizabeth Mckee | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2020-03-28 |
| 1053873430 | Cherline Lee Rausch | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2019-04-03 |
| 1245792027 | Jazmine Jenae Smith | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2019-04-02 |
| 1669931978 | Jeffrey Allen Farvour | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2019-03-16 |
| 1144703778 | Brianna H Wordell | Dietitian, Registered | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2018-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851857601 | All Encompassing Counseling LLC | Clinic/Center | 209 O'connor Drive, Elkhorn, WI 53121 | 2019-02-18 |
| 1689023848 | Jill Bestul | Occupational Therapist | 1532 N. Fairway Lane, Elkhorn, WI 53121 | 2016-06-08 |
| 1578984571 | Aurora Pharmacy Inc. | Pharmacy | 201 E. Morrissey Dr, Suite 100, Elkhorn, WI 53121 | 2013-12-18 |
| 1467894394 | Stephanie Lynn Coates | Counselor | 1 1/2 West Geneva Street, Credence Therapy Associates, Elkhorn, WI 53121 | 2013-07-19 |
| 1871853846 | Roger Dwight Petersen | Family Medicine | 20 South Washington St, Elkhorn, WI 53121 | 2012-05-23 |
| 1184993792 | Adam D Lewis | Pharmacist | 939 N. Wisconsin St., Elkhorn, WI 53121 | 2011-12-28 |
| 1609035328 | Paul V Kreul | Dentist | 715 W Walworth St, Elkhorn, WI 53121 | 2008-06-06 |
| 1548482508 | Mary Brauer | Physical Therapist | W3930 Co Rd Nn, Elkhorn, WI 53121 | 2007-05-02 |
| 1245458140 | Tammie Eileen Demicco | Occupational Therapy Assistant | 1922 County Rd. Nn, Elkhorn, WI 53121 | 2007-04-23 |
| 1215150198 | Laura L Barnes | Physical Therapy Assistant | 1922 County Road Nn, Elkhorn, WI 53121 | 2007-04-10 |
| Find all providers in zip 53121 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871853846 | Roger Dwight Petersen | Family Medicine | 20 South Washington St, Elkhorn, WI 53121 | 2012-05-23 |
| 1164694212 | Mike Oulashian | Family Medicine | 839 N Wisconsin St, Elkhorn, WI 53121-1138 | 2008-03-28 |
| 1114036738 | Edward E Carlson | Family Medicine | 433 Oakland Ln, Elkhorn, WI 53121-1659 | 2006-08-29 |
| 1366415721 | Edward P Montanez | Family Medicine | 1908 N 203rd St, Elkhorn, NE 68022-2889 | 2006-02-08 |
| 1497102347 | Ryan Brower | Family Medicine | 201 E Morrissey Dr, Elkhorn, WI 53121 | 2016-05-20 |
| 1083095814 | Fares W Sweis | Family Medicine | 839 N Wisconsin St, Elkhorn, WI 53121-1138 | 2015-06-17 |
| 1720469539 | Nadeen Z. Sweis | Family Medicine | 839 N Wisconsin St, Elkhorn, WI 53121-1138 | 2015-06-17 |
| 1174910608 | Lauren H Walsh | Family Medicine | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2015-04-22 |
| 1811334501 | Jessica Erin Furey | Family Medicine | 839 N Wisconsin St, Elkhorn, WI 53121-1138 | 2013-06-04 |
| 1508126509 | Ashley Caravelli | Family Medicine | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 | 2012-05-23 |
| Find all providers in ELKHORN | ||||
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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.