DR. THOMAS E JENIKE


Address: 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7594
Phone: 7043847101

DR. THOMAS E JENIKE (NPI# 1417937368) 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) 1417937368
Entity Type Individual
Full Name DR. THOMAS E JENIKE
Credential M.D.
Practice Address 106 Langtree Village Dr Ste 200
Mooresville
NC 28117-7594
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 7043847101
Practice Fax Number 7043847101
Mailing Telephone 7043847101
Mailing Fax Number 7043847102
Enumeration Date 2006-01-18
Last Update Date 2020-11-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 9601351 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 8911472 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
16525 Holly Crest Ln, Suite 150, Huntersville, NC 280784909 7043841725 7043841726

Office Location

Street Address 106 LANGTREE VILLAGE DR STE 200
City MOORESVILLE
State NC
Zip Code 28117-7594

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699328047 Novant Medical Group Inc Internal Medicine 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7571 2019-07-24
1245793546 Laura Lynn Adkins Nurse Practitioner 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7571 2019-04-12
1053878868 Novant Medical Group, Inc. Obstetrics & Gynecology 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7571 2019-02-28
1386044527 Collin Wright Physician Assistant 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7594 2014-08-25
1174964225 Jamie Seidl Family Medicine 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7594 2013-07-17
1184934465 Natasha Jones Nurse Practitioner 106 Langtree Village Dr Ste 200, Mooresville, NC 28117 2010-10-20
1346431806 Brent Penhall Family Medicine 106 Langtree Village Dr Ste 200, Mooresville, NC 28117 2007-08-08
1952403768 Sharon M Stitt Nurse Practitioner 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7571 2006-09-02
1376552992 Victoria K. King Family Medicine 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7594 2006-08-05
1356311575 Deborah Parry Warren Obstetrics & Gynecology 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7571 2006-01-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891356648 Teleoptometric Service, P.C. Optometrist 392 Talbert Rd, Mooresville, NC 28117 2019-06-24
1992268544 Costco Wholesale Corporation Eyewear Supplier (Equipment, not the service) 392 Talbert Rd., Mooresville, NC 28117 2019-04-10
1982178042 Langtree Endoscopy Center, LLC Clinic/Center 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 2019-01-11
1679044416 May and Associates Therapy Center Psychologist 862 Brawley School Road, Suite 202, Mooresville, NC 28117 2018-12-05
1700360153 Sabrina Chabot Hutchinson Physical Therapist 508 Williamson Rd, Suite 200, Mooresville, NC 28117 2018-09-21
1992284327 Presbyterian Imaging Centers LLC Radiology 106 Langtree Village Dr # 201, Mooresville, NC 28117 2018-08-07
1073091310 Jenelle Donzelli Nemeth Registered Nurse 102 Sapphire Drive, Mooresville, NC 28117 2018-07-30
1912497496 Patsharx LLC Pharmacy 480 River Hwy, Suite A, Mooresville, NC 28117 2018-05-10
1427502434 Counseling Service At Lake Norman, Pllc Community/Behavioral Health 18117 W. Catawba Avenue, Cornelius, NC 28117 2016-08-08
1447605928 Renewal Counseling, Pllc Counselor 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 2016-05-03
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346868155 Novant Medical Group, Inc. Family Medicine 106 Corporate Park Dr Ste 200, Mooresville, NC 28117-7134 2020-07-08
1649890468 Carolinas Physicians Network Inc Family Medicine 150 Professional Park Dr Ste 400, Mooresville, NC 28117-5604 2020-04-22
1275080954 Carolinas Physicians Network Inc Family Medicine 119-d-1 Marketplace Avenue, Mooresville, NC 28117-9157 2016-09-09
1063869469 Amber Hicks-thibodeau Family Medicine 798 Oak Ridge Farm Hwy. Suite A, Mooresville, NC 28115 2016-05-16
1982043535 Gabriel Cyrus Fitton Family Medicine 157 Professional Park Dr Ste A, Mooresville, NC 28117-5606 2013-06-17
1245573807 Anthony John Castiglia Family Medicine 570 Williamson Rd, Suite C, Mooresville, NC 28117-9118 2013-04-02
1851678767 Mooresville Ppm LLC Family Medicine 128 Argus Ln, Suite G, Mooresville, NC 28117-6972 2011-11-05
1790068096 Urgent Cares of America North Carolina Inc. Family Medicine 107 Commons Dr Ste A, Mooresville, NC 28117-9262 2011-09-22
1780822288 Iredell Physician Network LLC Family Medicine 136 Corporate Park Dr, Suite 3h, Mooresville, NC 28117-6959 2009-01-22
1275781726 Carolinas Physicians Network, Inc. Family Medicine 478 Williamson Road, Ste B, Mooresville, NC 28117-9109 2008-09-08
Find all providers in MOORESVILLE

Competitor

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City MOORESVILLE
Zip Code 28117

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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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