ERIC J JENKINSON (NPI# 1427057132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427057132 |
| Entity Type | Individual |
| Full Name | ERIC J JENKINSON |
| Credential | MD |
| Practice Address |
1255 Liberty St Redding CA 96001-0814 |
| Mailing Address |
Po Box 991950 Redding CA 96099-1950 |
| Practice Telephone | 5302462467 |
| Practice Fax Number | 5302465632 |
| Mailing Telephone | 5302462457 |
| Mailing Fax Number | 5302465632 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2020-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
01050809A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200216530 | 05 | |
| IN | RAIL ROAD MEDICARE | 250011958 | 01 |
| Street Address |
1255 LIBERTY ST |
| City | REDDING |
| State | CA |
| Zip Code | 96001-0814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760025886 | Kimberly Kay Elliott | Social Worker | 1255 Liberty St, Redding, CA 96001-0814 | 2019-10-21 |
| 1447803374 | Seth Kneebone | Physical Therapist | 1255 Liberty St, Redding, CA 96001-0814 | 2019-07-19 |
| 1689172405 | Stacie Lyn Lonquist | Specialist/Technologist | 1255 Liberty St, Redding, CA 96001-0814 | 2018-01-26 |
| 1689106882 | Garret Strand | Podiatrist | 1255 Liberty St, Redding, CA 96001-0814 | 2017-03-28 |
| 1851836506 | Tyler Michael Martin | Physical Therapist | 1255 Liberty St, Redding, CA 96001-0814 | 2017-01-04 |
| 1225438658 | William A Ranker | Pharmacist | 1255 Liberty St, Suite C, Redding, CA 96001-0814 | 2014-09-04 |
| 1427479740 | Jennifer Olds | Registered Nurse | 1255 Liberty St, Redding, CA 96001-0814 | 2014-01-05 |
| 1114362019 | Forrest R Monroe | Anesthesiology | 1255 Liberty St, Redding, CA 96001 | 2013-05-06 |
| 1447536933 | Marisa Taylor Mackenzie | Physician Assistant | 1255 Liberty St, Redding, CA 96001-0814 | 2011-10-27 |
| 1609154517 | Trisha J Fagan | Physician Assistant | 1255 Liberty St, Redding, CA 96001-0814 | 2011-07-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 2080S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Sports Medicine |
| A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689228462 | Gameday Sports Medicine Academy | Pediatrics | 3101 Gilmore Ave Ste 100, Bakersfield, CA 93308-6342 | 2019-07-30 |
| 1356683247 | Alana Wright | Pediatrics | 2300 Camino Ramon, San Ramon, CA 94583-1354 | 2013-03-19 |
| 1790929396 | Mark Warshaw | Pediatrics | 8 Mclea Ct, San Francisco, CA 94103-4451 | 2009-04-27 |
| 1730336397 | Stephen S. Chen | Pediatrics | 1777 Botelho Dr Ste 110, Walnut Creek, CA 94596-5083 | 2008-08-25 |
| 1801008917 | Christine Boyd | Pediatrics | 1119 E Stanley Blvd, Livermore, CA 94550-4115 | 2007-05-03 |
| 1891875522 | Rebecca A. Demorest | Pediatrics | 4000 Dublin Blvd Ste 100, Dublin, CA 94568-3122 | 2006-10-17 |
| 1912419276 | Alix Mackenzie Wilson | Pediatrics | 747 52nd St, Oakland, CA 94609-1809 | 2017-10-26 |
| 1326581208 | Jessica Mofidi | Pediatrics | 403 W Adams Blvd, Los Angeles, CA 90007-2664 | 2016-11-28 |
| 1861848947 | Michael Joseph Nieto | Pediatrics | 280 S Main St Ste 200, Orange, CA 92868-3852 | 2016-05-09 |
| 1609195452 | Jonathan Lee Minor | Pediatrics | 1310 W Stewart Dr, Suite 508, Orange, CA 92868-3854 | 2010-05-19 |
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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.