DR. DAVID LAURTIZ JENSEN (NPI# 1174855159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174855159 |
| Entity Type | Individual |
| Full Name | DR. DAVID LAURTIZ JENSEN |
| Credential | D.O. |
| Practice Address |
3090 N Litchfield Rd Ste 120 Goodyear AZ 85395-9214 |
| Practice Telephone | 8018743135 |
| Mailing Telephone | 8018743135 |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2019-11-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 9167838-8904 | UT | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 005379 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | NPI | 1174855159 | 01 |
| AZ | 569756 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477081818 | David Nels Jensen | Student in an Organized Health Care Education/Training Program | Po Box 70567, Johnson City, TN 37614-1707 | 2017-05-30 |
| 1417225012 | David W Jensen | Community/Behavioral Health | 6436 S 5180 W, West Jordan, UT 84081-3812 | 2011-12-09 |
| 1184931800 | David R Jensen | Physical Therapist | 7201 W Clearwater Ave, Suite B101, Kennewick, WA 99336-1694 | 2010-09-01 |
| 1346551116 | David Charles Jensen | Dentist | 825 W Us Highway 10 31, Scottville, MI 49454-9601 | 2010-06-28 |
| 1366646333 | David R Jensen | Dentist | 13713 Linden Dr, Spring Hill, FL 34609-5023 | 2007-06-13 |
| 1306986013 | David Blaine Jensen | Social Worker | 991 S 100 E, Richfield, UT 84701-7030 | 2007-02-08 |
| 1003999533 | David Stallings Jensen | Physical Therapist | 1803 Abbedale Ln, Sandy, UT 84092-3847 | 2006-10-20 |
| 1326158239 | David Lawrence Jensen | Internal Medicine | 1446 Perier Village Way, Clearwater, FL 33764 | 2006-08-30 |
| 1093731325 | David R Jensen | General Practice | 619 W Avenue Q, Suite B, Palmdale, CA 93551-3889 | 2006-07-13 |
| 1407808983 | David Joseph Jensen | Physical Medicine & Rehabilitation | 625 Pole Line Rd W Ste 1a, Twin Falls, ID 83301-4269 | 2006-05-16 |
| Street Address |
3090 N LITCHFIELD RD STE 120 |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85395-9214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629568548 | Northland Hearing Center Inc | Hearing Aid Equipment | 3090 N Litchfield Rd Ste 120, Goodyear, AZ 85395-9214 | 2018-05-16 |
| 1932600541 | Northland Hearing Center, Inc. | Clinic/Center | 3090 N Litchfield Rd Ste 120, Goodyear, AZ 85395-9214 | 2018-02-28 |
| 1831588847 | Caroline Syowia | Nurse Practitioner | 3090 N Litchfield Rd Ste 120, Goodyear, AZ 85395-9214 | 2015-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
| 1851947865 | Az Care Partners Home Care, LLC | Chore Provider | 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 | 2019-08-15 |
| 1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
| 1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
| 1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
| 1912497504 | Goodyear Modern Dentistry, LLP | Dentist | 15260 West Mcdowell Rd, Goodyear, AZ 85395 | 2018-05-18 |
| 1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
| 1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
| 1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
| 1023520228 | Kathy Lynn Gorchesky | Registered Nurse | 15430 West Turney Avenue, Goodyear, AZ 85395 | 2017-10-27 |
| Find all providers in zip 85395 | ||||
| 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 |
|---|---|---|---|---|
| 1093336794 | Nexx Level Healthcare | Family Medicine | 15664 W Devonshire Ave, Goodyear, AZ 85395-7773 | 2020-05-04 |
| 1043866593 | April Tatiana Vanderford | Family Medicine | 3050 N Litchfield Rd Ste 120, Goodyear, AZ 85395-7805 | 2019-08-12 |
| 1275853715 | Michael Raymond Brady | Family Medicine | 13471 W. Cornerstone Blvd, Goodyear, AZ 85395 | 2010-06-07 |
| 1437471711 | John Edward Manning Jr. | Family Medicine | 13591 W Roanoke Ave, Goodyear, AZ 85395-2254 | 2010-02-27 |
| 1730318387 | Christina Michelle Martin | Family Medicine | 750 N Estrella Pkwy Ste 60, Goodyear, AZ 85338-9279 | 2009-07-03 |
| 1144483207 | Giuseppe Byron Torres | Family Medicine | 14445 W Mcdowell Rd, Ste A-104, Goodyear, AZ 85395 | 2008-07-08 |
| 1093858003 | Sun Valley Urgent Care | Family Medicine | 2910 N. Litchfield Road, Goodyear, AZ 85395 | 2007-02-15 |
| 1346312451 | John Robert Monroe | Family Medicine | 750 N Estrella Pkwy Ste 40, Goodyear, AZ 85338-9279 | 2006-11-14 |
| 1346354396 | Darrin Dean Scherer | Family Medicine | 3030 N Litchfield Rd, Suite 110, Goodyear, AZ 85395-7803 | 2006-08-18 |
| 1235174731 | Krista Deann Pellicore | Family Medicine | 140 N Litchfield Rd, Suite 200, Goodyear, AZ 85338-1277 | 2006-06-18 |
| Find all providers in GOODYEAR | ||||
Please comment or provide details below to improve the information on DR. DAVID LAURTIZ JENSEN.
| 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.