JENNIFER W CHILDERS (NPI# 1265515563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265515563 |
| Entity Type | Individual |
| Full Name | JENNIFER W CHILDERS |
| Credential | M.D. |
| Practice Address |
3156 State St Medford OR 97504-8450 |
| Practice Telephone | 5417739772 |
| Practice Fax Number | 5417739772 |
| Mailing Telephone | 5417739772 |
| Mailing Fax Number | 5417739772 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2011-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD17352 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500608995 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831643485 | Jennifer Childers | Nurse Practitioner | 24229 Lakerush Ct, Lutz, FL 33559-7330 | 2016-08-11 |
| 1972920833 | Jennifer Childers | Counselor | 2772 S. Martin Luther King Jr Blvd., Fresno, CA 93706 | 2014-03-27 |
| 1336497510 | Jennifer Street Childers | Optometrist | 1010b City Ave N, Ripley, MS 38663-1413 | 2012-08-20 |
| 1265615561 | Jennifer Pauline Childers | Social Worker | 2324 W 7th Pl, Suite 7, Stillwater, OK 74074-1927 | 2007-12-10 |
| 1700427770 | Jennifer Childers | Behavior Technician | 19615 Liverpool Pkwy Ste B, Cornelius, NC 28031-4075 | 2019-10-01 |
| 1033461447 | Jennifer Childers | Physician Assistant | 472 W Poplar Ave Ste 200, Collierville, TN 38017-2538 | 2012-10-09 |
| 1295048809 | Jennifer Childers | Social Worker | 8445 Munson Rd, Mentor, OH 44060-2410 | 2010-07-24 |
| 1689821068 | Jennifer Lynn Childers | Physician Assistant | 90 N 4th St, Martins Ferry, OH 43935-1648 | 2008-08-27 |
| Street Address |
3156 STATE ST |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023070034 | John H Rennick | Psychiatry & Neurology | 3156 State St, Medford, OR 97504 | 2006-04-05 |
| 1053957225 | River Rock Family Practice PC | Nurse Practitioner | 3156 State St, Medford, OR 97504-8450 | 2019-11-22 |
| 1851945992 | Oceana Buckingham | Peer Specialist | 3156 State St, Medford, OR 97504-8450 | 2019-07-26 |
| 1235796699 | Macie Slizoski | Counselor | 3156 State St, Medford, OR 97504 | 2019-05-21 |
| 1245798644 | Deb Weisman | Counselor | 3156 State St, Medford, OR 97504-8450 | 2019-03-05 |
| 1952867129 | Brittney Leticia Villa | Counselor | 3156 State St, Medford, OR 97504-8450 | 2019-02-13 |
| 1063986198 | Gloria Westfall | Counselor | 3156 State St, Medford, OR 97504-8450 | 2019-01-11 |
| 1447721386 | Janeice K Bouchard | Counselor | 3156 State St, Medford, OR 97504-8450 | 2018-12-17 |
| 1851878813 | Tiffany Alexander | Counselor | 3156 State St, Medford, OR 97504-8450 | 2018-07-23 |
| 1548747504 | Misty Bishop | Counselor | 3156 State St, Medford, OR 97504-8450 | 2018-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194864314 | Neil L. Bellet M.d. and Lawrence M. Wells M.d.,llp | Dermatology | 1735 N Ocean Ave, Suite C, Medford, NY 11763-2649 | 2007-02-05 |
| 1275671059 | Dr.andrea S.buck PC | Dermatology | 103 Old Marlton Pike Ste 215, Medford, NJ 08055-8772 | 2007-02-02 |
| 1184640815 | Denise Ann Burke | Dermatology | 749 Golf View Dr, Suite A, Medford, OR 97504-9654 | 2006-07-14 |
| 1164472023 | Elyse Horn Harrop | Dermatology | 622 Stokes Rd, Suite A, Medford, NJ 08055-2913 | 2006-05-11 |
| 1174592349 | David Mark Trask | Dermatology | 492 Murphy Rd, Medford, OR 97504-8144 | 2006-03-17 |
| 1104892322 | Richard K Brown | Dermatology | 282 Winthrop St, Medford, MA 02155 | 2006-02-27 |
| 1104814151 | Judith Redd | Dermatology | 1910 E Barnett Rd #101, Medford, OR 97504 | 2005-10-12 |
| 1699392985 | Roxyann Dermatology, LLC | Dermatology | 3210 Hillcrest Park Dr Ste 100, Medford, OR 97504-7687 | 2020-07-02 |
| 1316331325 | Jennifer Sigrid Barklund | Dermatology | 2959 Siskiyou Blvd, Medford, OR 97504-8131 | 2015-03-27 |
| 1548526114 | Laurel Naversen Geraghty | Dermatology | 2959 Siskiyou Blvd, Ste B, Medford, OR 97504-8131 | 2012-04-07 |
| Find all providers in MEDFORD | ||||
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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.