TRAVIS S JENSEN DPM PC (NPI# 1528496411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528496411 |
| Entity Type | Organization |
| Organization Name | TRAVIS S JENSEN DPM PC |
| Practice Address |
12361 W Bola Dr Surprise AZ 85378-9021 |
| Mailing Address |
Po Box 1149 Peoria AZ 85380-1149 |
| Practice Telephone | 6235845626 |
| Mailing Telephone | 6235832073 |
| Mailing Fax Number | 6235831099 |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2013-10-31 |
| Authorized Official Name | TRAVIS S JENSEN (PROVIDER) |
| Authorized Official Telephone | 6235832073 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 251822 | 05 |
| Street Address |
12361 W BOLA DR |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85378-9021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912990094 | Robert C Waldrip | Orthopaedic Surgery | 12361 W Bola Dr, Suite 100, Surprise, AZ 85378-9021 | 2005-08-24 |
| 1255817847 | Atlantis Cardiac & Vascular Center of Surprise, LLC | Surgery | 12361 W Bola Dr, Surprise, AZ 85378-9021 | 2018-07-17 |
| 1417497066 | Nicole Barth | Nurse Practitioner | 12361 W Bola Dr, Suite 109, Surprise, AZ 85378-9021 | 2017-03-01 |
| 1881132314 | Laurel Sockrider | Nurse Practitioner | 12361 W Bola Dr, Suite 109, Surprise, AZ 85378-9021 | 2017-02-04 |
| 1598125791 | Raghav LLC | Psychiatry & Neurology | 12361 W Bola Dr, Ste 109, Surprise, AZ 85378-9021 | 2016-03-01 |
| 1538500046 | Joseph M Janzer, Do PC | Orthopaedic Surgery | 12361 W Bola Dr, Surprise, AZ 85378-9021 | 2013-07-12 |
| 1457792962 | Lawrence Kelly, Md PC | Orthopaedic Surgery | 12361 W Bola Dr, Surprise, AZ 85378-9021 | 2013-07-12 |
| 1962841742 | The Ortho Joint of Arizona, LLC | Orthopaedic Surgery | 12361 W Bola Dr, #100, Surprise, AZ 85378-9021 | 2013-06-14 |
| 1538429121 | Sr Billing | Anesthesiology | 12361 W Bola Dr, Suite 109, Surprise, AZ 85378 | 2012-05-17 |
| 1417215377 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 12361 W Bola Dr, Ste 100, Surprise, AZ 85378-9021 | 2012-04-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467947101 | Destiny Springs Healthcare, LLC | Psychiatric Hospital | 17300 N. Dysart Road, Surprise, AZ 85378 | 2018-06-26 |
| 1881013480 | Amanda Brimlow | Specialist | 12425 West Bell Rd, Suite 200, Surprise, AZ 85378 | 2014-04-10 |
| 1598193104 | Kalin Marie Harding | Nurse Practitioner | 12425 W. Bell Rd., Suite 106, Suprise, AZ 85378 | 2013-10-16 |
| 1043651540 | Rachel Sara Herrin | Internal Medicine | 12665 W. Smokey Dr., #140, Surprise, AZ 85378 | 2013-07-12 |
| 1962756528 | Daniel Allen Dryer | Registered Nurse | 11607 W. Mingus Mt. Ct., Surprise, AZ 85378 | 2012-11-05 |
| 1124374715 | Rabeca Vatamaniuc | Home Health Aide | 11151 W Lily Mckinley Dr, Surprise, AZ 85378 | 2012-08-01 |
| 1710073457 | Arizona's Children Association | Clinic/Center | 11321 West Bell Road, Suite 401, Surprise, AZ 85378 | 2006-10-04 |
| 1457515579 | Madhuri Dhupati & Associates Md PC. | Clinic/Center | 12647 W Smokey Dr Ste 119, Surprise, AZ 85378 | 2008-07-17 |
| 1205267119 | Post-acute Physicians of Arizona Pllc | Physical Medicine & Rehabilitation | 13060 W Bell Rd, Surprise, AZ 85378-1200 | 2013-12-02 |
| 1679954002 | Cobalt Rehabilitation Hospital Iv, LLC | Rehabilitation Hospital | 13060 W Bell Rd, Surprise, AZ 85378-1200 | 2015-06-11 |
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| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861563132 | Peyman A Elison | Podiatrist | 14823 W Bell Rd, Suite 100, Surprise, AZ 85374-7607 | 2006-11-10 |
| 1578524385 | David Kern Lee | Podiatrist | 18731 N Reems Rd Ste 640, Surprise, AZ 85374-8644 | 2006-03-31 |
| 1578179875 | Foot & Ankle Specialists of Arizona | Podiatrist | 14973 W Bell Rd Ste 100, Surprise, AZ 85374-3878 | 2020-09-22 |
| 1619491537 | Megan Barlow | Podiatrist | 18731 N Reems Rd Ste 640, Surprise, AZ 85374-8644 | 2017-08-02 |
| 1639556129 | Arizona Institute for Restorative Foot and Ankle Surgery Inc | Podiatrist | 18731 N Reems Rd, Suite 640, Surprise, AZ 85374-8644 | 2015-05-04 |
| 1982749917 | Peyman A. Elison Dpm PC | Podiatrist | 14800 W Mountain View Blvd, Suite 160, Surprise, AZ 85374-4795 | 2007-02-20 |
| 1548331812 | Viedra V Elison | Podiatrist | 14823 W Bell Rd, Suite 100, Surprise, AZ 85374-7607 | 2006-11-10 |
| 1851475610 | Richard Leroy Martin Jr. | Podiatrist | 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374-7280 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152452 | Arcadia Foot & Ankle PC | Podiatrist | 9421 W Bell Rd Ste 105, Sun City, AZ 85351-1361 | 2020-10-21 |
| 1093314072 | Arcadia Foot & Ankle PC | Podiatrist | 10900 N Scottsdale Rd Ste 101, Scottsdale, AZ 85254-5222 | 2020-10-21 |
| 1467072090 | Foot & Ankle Specialists of Arizona | Podiatrist | 5681 W Beverly Ln Ste 100a, Glendale, AZ 85306-9800 | 2020-04-23 |
| 1285254813 | Foot & Ankle Specialists of Arizona | Podiatrist | 10615 W Thunderbird Blvd Ste B100, Sun City, AZ 85351-2748 | 2020-04-23 |
| 1407418395 | Jupiter Medical Services LLC | Podiatrist | 13660 N 94th Dr # D-1, Peoria, AZ 85381-4836 | 2019-07-01 |
| 1629535273 | Saguaro Foot and Ankle | Podiatrist | 2128 E Maplewood St, Gilbert, AZ 85297-1140 | 2019-03-01 |
| 1609366533 | Podiatric Physicians of Arizona, Inc. | Podiatrist | 11851 N 51st Ave Ste D120, Glendale, AZ 85304-2839 | 2018-05-16 |
| 1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
| 1285155127 | Priyanka Begur | Podiatrist | 1701 E Thomas Rd Ste 201, Phoenix, AZ 85016-7674 | 2017-06-30 |
| 1912439324 | Bogdan Baragau | Podiatrist | 14418 W Meeker Blvd Ste 205, Sun City West, AZ 85375-5291 | 2017-04-03 |
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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.