MR. JESSE A JORGENSEN (NPI# 1336130889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336130889 |
| Entity Type | Individual |
| Full Name | MR. JESSE A JORGENSEN |
| Credential | PAC |
| Practice Address |
1580 W Antelope Dr Suite 100 Layton UT 84041-1160 |
| Mailing Address |
1566 E 1700 S Slc UT 84105 |
| Practice Telephone | 8019271632 |
| Practice Fax Number | 8019271591 |
| Mailing Telephone | 8017738644 |
| Mailing Fax Number | 7752464186 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2012-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 6124415-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA907 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA17883 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | BCBS | CC7683 | 01 |
| NV | 100505904 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649687401 | Jesse Jorgensen | Specialist/Technologist | 1700 30th Ave Apt 1, Monroe, WI 53566-3161 | 2014-07-14 |
| 1154401206 | Jesse Paul Jorgensen | Internal Medicine | 877 W Faris Rd, Ste B, Greenville, SC 29605-4296 | 2006-10-16 |
| Street Address |
1580 W ANTELOPE DR SUITE 100 |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-1160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760886634 | Melanie Valmonte Lozano | Physician Assistant | 1580 W Antelope Dr, Suite 200, Layton, UT 84041-1160 | 2014-10-21 |
| 1700047099 | Leah N Torres | Obstetrics & Gynecology | 1580 W Antelope Dr, 290, Layton, UT 84041-1160 | 2008-06-19 |
| 1508046772 | Patricia Marie James | Nurse Practitioner | 1580 W Antelope Dr, Suite 290, Layton, UT 84041-1160 | 2007-11-05 |
| 1710180591 | Stacie B Carter | Advanced Practice Midwife | 1580 W Antelope Dr, Suite 290, Layton, UT 84041-1160 | 2007-06-07 |
| 1790998359 | Wasatch Peak Family Practice Inc | General Practice | 1580 W Antelope Dr, Suite 200, Layton, UT 84041-1160 | 2007-05-08 |
| 1811013279 | Aaron Vincent Barson Jr. | Family Medicine | 1580 W Antelope Dr, Suite 250, Layton, UT 84041-1160 | 2007-03-21 |
| 1740305150 | Stacey Bushell | Nurse Practitioner | 1580 W Antelope Dr, Suite 100, Layton, UT 84041-1160 | 2007-03-21 |
| 1871649467 | Joseph W Jensen, Do, PC | Surgery | 1580 W Antelope Dr, Suite 130, Layton, UT 84041-1160 | 2007-01-26 |
| 1700932639 | Peter V Wilson, Md, Pllc | Surgery | 1580 W Antelope Dr, Suite 130, Layton, UT 84041-1160 | 2007-01-25 |
| 1932272598 | David E Butters | Family Medicine | 1580 W Antelope Dr, 200, Layton, UT 84041-1160 | 2006-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1508384256 | Deborah Elaine Alston | Physician Assistant | 2084 N 1700 W Ste A, Layton, UT 84041-1118 | 2017-09-01 |
| 1750818241 | Teri Junko Demille | Physician Assistant | 2084 N Robins Dr Ste A, Layton, UT 84041-1118 | 2017-05-16 |
| 1225482201 | Benjamin Clark Saxey | Physician Assistant | 2950 N Church St Ste 101, Layton, UT 84040-6504 | 2016-04-15 |
| 1689791709 | Jeffrey Scott Adams | Physician Assistant | 1231 N 75 W, Layton, UT 84041-2907 | 2007-03-23 |
| 1003829086 | Sheldon Jackson | Physician Assistant | 1240 E Highway 193, Suite G-1, Layton, UT 84040-8544 | 2006-08-14 |
| 1548282908 | Wesley Brandon Jones | Physician Assistant | 1600 W. Antelope Drive, Davis Hospital and Medical Center, Layton, UT 84041 | 2006-07-24 |
| 1942290804 | Colleen Odonnell | Physician Assistant | 2132 N 1700 W Ste 230, Layton, UT 84041-7060 | 2005-10-24 |
| 1639161078 | Michael C Hawkins | Physician Assistant | 1660 Antelope Drive, Ste 225, Layton, UT 84041 | 2005-08-22 |
| 1639780745 | Darren Strong | Physician Assistant | 2121 N 1700 W, Layton, UT 84041-8803 | 2020-08-12 |
| Find all providers in LAYTON | ||||
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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.