DR. SELENA JORGENSEN (NPI# 1114269149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114269149 |
| Entity Type | Individual |
| Full Name | DR. SELENA JORGENSEN |
| Credential | MD |
| Practice Address |
363 Highland Ave Fall River MA 02720-3703 |
| Mailing Address |
252 W Broadway Unit 3 Boston MA 02127-1958 |
| Practice Telephone | 5086793131 |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2017-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 265850 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
363 HIGHLAND AVE |
| City | FALL RIVER |
| State | MA |
| Zip Code | 02720-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681742 | George S Botros | Anesthesiology | 363 Highland Ave, Fall River, MA 02720-3703 | 2005-07-06 |
| 1497365530 | Kanaan Khalil El-daher | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2020-08-04 |
| 1669004214 | Nicole Brown | Dietitian, Registered | 363 Highland Ave, Fall River, MA 02720-3703 | 2020-02-11 |
| 1558901223 | Jordan Marie Wyrick | Student in an Organized Health Care Education/Training Program | 363 Highland Ave, Fall River, MA 02720-3703 | 2020-01-10 |
| 1740821123 | Melissa F Gaffney | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2019-10-07 |
| 1720544133 | Alicia Marie Pimentel | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2019-02-11 |
| 1881164184 | Kristina V Amaral | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2018-11-29 |
| 1326521584 | Alyssa Oliveira | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2018-09-12 |
| 1891274189 | Samantha Cruz | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2018-08-08 |
| 1346732534 | Brianne Caitlen Santos | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2018-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960264 | Robert Walsh | Massage Therapist | 275 High Street, 1st Floor Rear, Fall River, MA 02720 | 2020-04-10 |
| 1487147252 | Patricia Mateus Peterson | Social Worker | 1561 N Main Street, Fall River, MA 02720 | 2018-06-07 |
| 1669980371 | Jolita Perez | Home Health Aide | 92 Hanover St Apt 2, Fall River, MA 02720 | 2018-01-16 |
| 1023537305 | Rebekah Shermer Woolf | Counselor | 1082 Davol St., Fall River, MA 02720 | 2017-09-18 |
| 1467977843 | Elena Amelia Cetola | Nurse Practitioner | 38 Rock St Ste 2, Fall River, MA 02720 | 2017-08-07 |
| 1477903128 | Rebecca Anne Weller | Counselor | 1082 Davol St, Fall River, Ma 02720, Fall River, MA 02720 | 2016-06-14 |
| 1811358773 | Tiana Vidal | Counselor | 1082 N Davol St., Fallriver, MA 02720 | 2016-03-18 |
| 1477925907 | David Vega | Counselor | 1082 N Davol St, Fall River, MA 02720 | 2015-10-23 |
| 1235537473 | Desire Hendricksmoreno | Counselor | 279 North Main Street, Fall River, MA 02720 | 2014-12-19 |
| 1801294160 | Rebecca Bergeron | Counselor | 1080 Davol Street, Suite 202, Fall River, MA 02720 | 2014-12-18 |
| Find all providers in zip 02720 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1285821777 | Joseph S Zhou | Pediatrics | 277 Pleasant St Ste 309b, Fall River, MA 02721-3005 | 2007-09-27 |
| 1619930146 | Pediatric Associates of Fall River, Inc | Pediatrics | 829 S Main St, Fall River, MA 02724-2921 | 2006-04-07 |
| 1750369310 | Ali R Tural | Pediatrics | 387 High St, Fall River, MA 02720-3348 | 2006-01-04 |
| 1831170828 | Jean Lee-ann Leimert | Pediatrics | 851 Middle St, Suite 1100, Fall River, MA 02721-1778 | 2005-11-08 |
| 1225398217 | Veronica Bernardo | Pediatrics | 1030 President Ave, Suite 2001, Fall River, MA 02720-5923 | 2012-05-23 |
| 1558505990 | Safaa M Ali | Pediatrics | 373 New Boston Rd, Fall River, MA 02720-5814 | 2009-04-29 |
| 1912109778 | Jessica Denise Rome | Pediatrics | 829 S Main St, Fall River, MA 02724-2944 | 2007-06-04 |
| 1548486244 | Tural Pediatrics | Pediatrics | 387 High St, Fall River, MA 02720-3348 | 2007-04-18 |
| 1619009792 | Highland Pediatrics | Pediatrics | 1030 President Ave, Fall River, MA 02720-5923 | 2007-03-12 |
| 1023161965 | Kelby Maher | Pediatrics | 1030 President Ave, Fall River, MA 02720-5923 | 2007-01-22 |
| Find all providers in FALL RIVER | ||||
| City | FALL RIVER |
| Zip Code | 02720 |
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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.