DR. KELLY D JENSEN (NPI# 1497955330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497955330 |
| Entity Type | Individual |
| Full Name | DR. KELLY D JENSEN |
| Credential | D.O. |
| Practice Address |
280 N Hospital Dr Price UT 84501-4216 |
| Mailing Address |
280 N Hospital Dr Ste 3 Price UT 84501-4211 |
| Practice Telephone | 4356372663 |
| Mailing Telephone | 4356237260 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2012-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | OT012058 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241511 | Kelly Jensen | Counselor | 255 Delaware Ave Ste 3000, Buffalo, NY 14202-2016 | 2020-10-01 |
| 1831706795 | Kelly Jensen | Midwife | 1745 Harold Rd, Escondido, CA 92026-1822 | 2020-09-24 |
| 1548645245 | Kelly Jensen | Specialist | 19 Mallard Ave, Selden, NY 11784-2309 | 2015-07-23 |
| 1548670698 | Kelly Jensen | Social Worker | 314 5th St W, Ste. 1, Bottineau, ND 58318-1204 | 2014-04-29 |
| 1255834057 | Kelly Jensen | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2018-03-17 |
| 1013368190 | Kelly Jensen | Physical Therapy Assistant | 801 S Briggs St, 2nd Floor, Joliet, IL 60433-9591 | 2016-06-29 |
| 1326388612 | Kelly M Jensen | Counselor | 619 N 500 W, Provo, UT 84601-1547 | 2013-02-22 |
| 1033455845 | Kelly Ann Jensen | Nurse Practitioner | 3920 Outlook Rd, Sunnyside, WA 98944-9202 | 2012-12-26 |
| 1326131335 | Kelly M Jensen | Physician Assistant | 6401 Prairie St, Suite 2300, Norton Shores, MI 49444-7840 | 2006-10-02 |
| 1568446227 | Kelly Elizabeth Clark Jensen | Obstetrics & Gynecology | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1080 | 2005-12-05 |
| Street Address |
280 N HOSPITAL DR |
| City | PRICE |
| State | UT |
| Zip Code | 84501-4216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467454413 | Donna Mathis | Nurse Practitioner | 280 N Hospital Dr, Ste 3, Price, UT 84501-4216 | 2005-06-02 |
| 1891058061 | Hollie Marie Stapley | Physician Assistant | 280 N Hospital Dr, Suite #2, Price, UT 84501-4216 | 2012-06-21 |
| 1023370988 | Castleview Physician Practices, LLC | Orthopaedic Surgery | 280 N Hospital Dr, Suite # 3, Price, UT 84501-4216 | 2012-06-15 |
| 1649555046 | David C Bradshaw Md PC | Obstetrics & Gynecology | 280 N Hospital Dr, Ste 4, Price, UT 84501-4216 | 2011-10-17 |
| 1255635090 | Castleview Physician Practices, LLC | Surgery | 280 N Hospital Dr, Suite # 5, Price, UT 84501-4216 | 2011-01-10 |
| 1639484504 | Castleview Physician Practices, LLC | Obstetrics & Gynecology | 280 N Hospital Dr, Suite # 4, Price, UT 84501-4216 | 2010-08-16 |
| 1174755722 | Castleview Physician Practices, LLC | Obstetrics & Gynecology | 280 N Hospital Dr, Suite # 2, Price, UT 84501-4216 | 2009-08-17 |
| 1639391402 | F. Rex Nielsen, Md, PC | Obstetrics & Gynecology | 280 N Hospital Dr, Suite 2, Price, UT 84501-4216 | 2007-05-02 |
| 1467509752 | Randall M. Relyea | Orthopaedic Surgery | 280 N Hospital Dr, Suite #3, Price, UT 84501-4216 | 2007-01-05 |
| 1962596668 | Richard J Yarger | Surgery | 280 N Hospital Dr, Suite 5, Price, UT 84501-4216 | 2006-10-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300079 | Kayleigh Maxfield | Case Manager/Care Coordinator | 77 S. 600 E., Price, UT 84501 | 2020-03-06 |
| 1174160071 | Kelli Fowles | Pharmacist | Smith's Food & Drug, 1075 E Main St, Price, UT 84501 | 2019-12-10 |
| 1225683733 | Zachary Kreek | Registered Nurse | 77 South 600 East Suite C, Price, UT 84501 | 2019-08-02 |
| 1578036547 | Boni Lee Taylor | Counselor | 445 North Carbonville Road, Price, UT 84501 | 2019-01-02 |
| 1023591310 | Center for Independent Living, Inc | Durable Medical Equipment & Medical Supplies | 2490 Mariner Square Loop, Suite 210, Alameda, CA 84501 | 2018-09-12 |
| 1023500360 | Dkmcomber Clinical Services | Nurse Practitioner | 590 E 100 N Ste 7, Price, UT 84501 | 2018-06-02 |
| 1326569245 | Castleview Physician Practice, LLC | Internal Medicine | 317 East 100 North, Price, UT 84501 | 2017-06-30 |
| 1255783874 | Cacilia Jensen | Case Manager/Care Coordinator | 105 W. 100 N., Price, UT 84501 | 2016-07-07 |
| 1801133905 | Joseph Micah Woodard | Counselor | 575 E. 100 S., Price, UT 84501 | 2013-01-09 |
| 1447513221 | Eugene Douglas Larsen Jr. | Internal Medicine | 280 N Hospital Dr Ste 4, Price, UT 84501 | 2012-06-18 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396808903 | David Robert Heiner | Orthopaedic Surgery | 945 W Hospital Drive, Suite 8, Price, UT 84501 | 2006-12-18 |
| 1154489698 | John F Boyle | Orthopaedic Surgery | 230 N Hospital Dr #2, Price, UT 84501 | 2006-12-05 |
| 1023370988 | Castleview Physician Practices, LLC | Orthopaedic Surgery | 280 N Hospital Dr, Suite # 3, Price, UT 84501-4216 | 2012-06-15 |
| 1467509752 | Randall M. Relyea | Orthopaedic Surgery | 280 N Hospital Dr, Suite #3, Price, UT 84501-4216 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757166 | Mountain West Spine and Orthopedics, LLC | Orthopaedic Surgery | 279 E 5900 S Ste 100, Murray, UT 84107-5422 | 2019-12-19 |
| 1639557168 | Hansen Orthopedics, P.C. | Orthopaedic Surgery | 1115 N 455 W Unit 8, Midway, UT 84049-6496 | 2015-05-17 |
| 1548651540 | Kevin Larkin | Orthopaedic Surgery | 3038 Polk Ave, Ogden, UT 84403-0589 | 2015-02-11 |
| 1083950794 | David Ross Mcnaught | Orthopaedic Surgery | 301 S 1200 E, Unit 42, Saint George, UT 84790-5538 | 2012-12-27 |
| 1033473574 | Enrique Feria-arias | Orthopaedic Surgery | 2356 N 400 E Ste 102, Tooele, UT 84074-3409 | 2012-06-29 |
| 1144582354 | Daniel Bradley Gibbs | Orthopaedic Surgery | 6360 S 3000 E # Sre210, Salt Lake City, UT 84121 | 2012-06-13 |
| 1437418217 | John Ryan Taylor | Orthopaedic Surgery | 700 W 800 N Ste 100, Orem, UT 84057-6301 | 2012-05-14 |
| 1821318494 | Mark D Hatch | Orthopaedic Surgery | 900 Round Valley Dr Ste 100, Park City, UT 84060-7552 | 2010-06-07 |
| 1003138785 | Mark Carl Thomas | Orthopaedic Surgery | 11611 Eureka Way, South Jordan, UT 84095-7916 | 2010-02-22 |
| 1326370537 | Marlan J Haslam | Orthopaedic Surgery | 1427 North Cisco Road, Laketown, UT 84038 | 2010-02-12 |
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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.