JEFFREY J JENKINS


Address: 1300 E Bradford Pkwy, Springfield, MO 65804-4264
Phone: 4177615000

JEFFREY J JENKINS (NPI# 1164528204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164528204
Entity Type Individual
Full Name JEFFREY J JENKINS
Credential MD
Practice Address 1300 E Bradford Pkwy
Springfield
MO 65804-4264
Practice Telephone 4177615000
Mailing Telephone 4177615000
Mailing Fax Number 4177615065
Enumeration Date 2006-09-16
Last Update Date 2019-09-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
R8N52 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 208144220 05
MO 1164528204 05
RR MEDICARE P00294297 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1300 E Bradford Pkwy, Springfield, MO 658044264 4177615000
2828 N National Ave, Springfield, MO 658034306 4178374665 4178754776

Other Providers JEFFREY JENKINS

NPI Name Taxonomy Address Enumeration
1952613739 Jeffrey Jenkins Psychologist 558 County Road 19, Kitts Hill, OH 45645-8624 2010-07-08
1467599217 Jeffrey R Jenkins Surgery 3257 Professional Dr Ste E, Auburn, CA 95602-2460 2007-01-31
1134785645 Jeffrey A Jenkins Pharmacist 480 S Main St, Orange, CA 92868-3836 2019-05-10
1891183968 Jeffrey Jenkins Registered Nurse 66 Hawley St, Binghamton, NY 13901-3833 2014-12-24
1396189437 Jeffrey Thomas Jenkins Internal Medicine 613 23rd St, Ashland, KY 41101-2878 2013-04-19
1518247543 Jeffrey Keith Jenkins I Counselor 316 W Main St, Henryetta, OK 74437-4240 2011-08-22
1851680904 Jeffrey Dan Jenkins Pharmacist 845 Nashville Pike, Gallatin, TN 37066-3103 2011-03-29
1447564992 Jeffrey K Jenkins Nurse Anesthetist, Certified Registered 1211 Main St, Hartford, KY 42347-1619 2010-07-27
1710056320 Jeffrey G. Jenkins Physical Medicine & Rehabilitation 545 Ray C Hunt Dr, Charlottesville, VA 22903-2981 2006-11-07
1003859455 Jeffrey S Jenkins Family Medicine 2000 10th Ave, Suite 200, Columbus, GA 31901-3700 2006-06-14

Office Location

Street Address 1300 E BRADFORD PKWY
City SPRINGFIELD
State MO
Zip Code 65804-4264

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639175912 Pascha J Boyd Nurse Practitioner 1300 E Bradford Pkwy, Springfield, MO 65804-4264 2005-06-22
1356942338 Derek Lee Hennigh Registered Nurse 1300 E Bradford Pkwy, Springfield, MO 65804-4264 2020-11-05
1093316515 Susan B Nutter Pharmacist 1300 E Bradford Pkwy, Springfield, MO 65804-4264 2020-11-02
1285234336 Logan L Comegys Social Worker 1300 E Bradford Pkwy, Springfield, MO 65804-4264 2020-10-28
1568060192 Christine M Reinheimer Case Manager/Care Coordinator 1300 E Bradford Pkwy, Springfield, MO 65804-4264 2020-10-15
1760089288 Michele Litchy Counselor 1300 E Bradford Pkwy, Springfield, MO 65804-4264 2020-10-07
1770190092 Rebecca D Mcgarry Social Worker 1300 E Bradford Pkwy, Springfield, MO 65804-4264 2020-09-30
1467066159 Jamie Audsley Case Manager/Care Coordinator 1300 E Bradford Pkwy, Springfield, MO 65804-4264 2020-09-01
1720692429 Shamon Williams Case Manager/Care Coordinator 1300 E Bradford Pkwy, Springfield, MO 65804-4264 2020-09-01
1831702448 Stephanie M Brodwater Case Manager/Care Coordinator 1300 E Bradford Pkwy, Springfield, MO 65804-4264 2020-08-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790393049 Kathy Forson Nurse Practitioner 1235 E. Cherokee St., Springfield, MO 65804 2020-07-22
1306498779 Anne B Summers, LLC Social Worker 1310 E. Kingsley St., Ste C, Springfield, MO 65804 2019-07-15
1790241800 Margaret Mary Hart Social Worker 1845 S Rogers Ave, Springfield, MO 65804 2019-02-13
1598254666 Casey Carr Optometrist 1229 E Seminole St Ste 110, Springfield, MO 65804 2018-05-04
1124520697 Shelby D White Behavioral Analyst 1300 E. Bradford Parkway, Springfield, MO 65804 2018-03-01
1316448343 Karl Lynham Massage Therapist 1200 E Woodhurst Dr R300, Springfield, MO 65804 2018-02-25
1699273763 Leah Wilson Counselor 1322 E Woodgate, Springfield, MO 65804 2018-01-24
1295242626 Matthew Crisp Physical Therapist 3252 E Independence St, Springfield, MO 65804 2018-01-08
1518491042 Crystal Spangler Dietitian, Registered 1965 S Fremont Ave Ste 220, Springfield, MO 65804 2017-04-11
1588012033 Jeffrey Williams Pharmacist 1235 E. Cherokee, Springfield, MO 65804 2016-05-25
Find all providers in zip 65804

Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164076683 Forefront-khatkhate Medical Services PC Psychiatry & Neurology 600 S 2nd St Ste 404, Springfield, IL 62704-2542 2019-08-01
1699043976 Terry Arthur Travis Psychiatry & Neurology 1200 Ravenswood, Na, Springfield, IL 62711-6079 2011-12-01
1659512184 Julie A. Warren, Md LLC Psychiatry & Neurology 1911 S. National Avenue, Suite 405, Springfield, MO 65804 2009-03-12
1255577821 William Basham Psychiatry & Neurology 5729 Main St # 330, Springfield, OR 97478-5426 2009-01-01
1679718043 Leslie Jeanne Phelps Psychiatry & Neurology 1717 E. Primrose St., Apartment B204, Springfield, MO 65804-5413 2008-12-12
1134302656 Interlink Behavioral Services, P.C. Psychiatry & Neurology 3121 S Terrace Green Ct, Springfield, MO 65804-4555 2007-12-06
1366621351 Azra A Farooqui Psychiatry & Neurology 7745 Jewelweed Ct, Springfield, VA 22152-3148 2007-10-26
1093919714 Lillian Joy Houston Psychiatry & Neurology 315 W Carpenter St Dept Of, Springfield, IL 62702-4901 2007-06-14
1881808145 Yakhmi Mds Psychiatry & Neurology 1505 N Limestone St, Springfield, OH 45503-3317 2007-05-09
1588784706 Asad Gobar Psychiatry & Neurology 5922 Hall St, Springfield, VA 22152-1401 2007-03-30
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 65804

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Dataset Information

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.

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