DR. GREGORY JENSEN (NPI# 1558894220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558894220 |
| Entity Type | Individual |
| Full Name | DR. GREGORY JENSEN |
| Credential | D.O. |
| Practice Address |
830 S Gloster St Tupelo MS 38801-4996 |
| Practice Telephone | 6623773000 |
| Mailing Telephone | 6623773000 |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2020-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 27534 | MS | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 98 Poplar St, Blackfoot, ID 832211758 | 2087822950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861788697 | Gregory Jensen | Pharmacist | 7779 Jordan Landing Blvd, T-2150, West Jordan, UT 84084-1975 | 2011-06-20 |
| 1497903751 | Gregory Anthony Jensen | Dentist | 1009 E Sumner St, Hartford, WI 53027-1607 | 2008-08-28 |
| 1700096724 | Gregory Vernon Jensen | Social Worker | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2007-05-22 |
| 1053481648 | Gregory Jensen | Nurse Anesthetist, Certified Registered | 3643 N Roxboro St, Durham, NC 27704-2702 | 2006-11-09 |
| 1912094640 | Gregory Keith Jensen | Anesthesiology | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2006-10-06 |
| 1154370427 | Gregory A Jensen | Specialist/Technologist | 141 Moby Arena, Colorado State University, Fort Collins, CO 80523-1887 | 2006-05-06 |
| Street Address |
830 S GLOSTER ST |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-4996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629078746 | David Smith Talton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 830 S Gloster St, Nmmc East Tower 4th Floor, Tupelo, MS 38801-4934 | 2005-07-29 |
| 1265031561 | Lauren Hester | Nurse Anesthetist, Certified Registered | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-10-19 |
| 1972102275 | Matthew Hester | Nurse Anesthetist, Certified Registered | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-10-19 |
| 1093313397 | Brent Lee Hallmark | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-10-09 |
| 1457958282 | Benjamin Johnson | Nurse Anesthetist, Certified Registered | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-10-05 |
| 1144837451 | Kayla Ann Jenkins | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4996 | 2020-09-30 |
| 1720695190 | Kimberly Faye Goss | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4996 | 2020-09-29 |
| 1316554900 | Meaghan Reed | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-09-28 |
| 1659988269 | Anna Elizabeth Roberts | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-09-28 |
| 1487261954 | Helen Paige Long | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063612422 | Donna B. Lewis | Emergency Medicine | 830 S. Gloster St., Tupelo, MS 38801 | 2007-07-23 |
| 1801904891 | Baylor Looper Jewell Sr. | Emergency Medicine | 2310 Oak Leigh Dr, Tupelo, MS 38801-6163 | 2006-08-29 |
| 1184614620 | Clarence A Justice | Emergency Medicine | 589 Garfield St, Suite 201, Tupelo, MS 38801-6301 | 2005-10-26 |
| 1659721736 | Kristin Mitchell | Emergency Medicine | 1665 S Green St, Tupelo, MS 38804-6556 | 2016-06-20 |
| 1841664661 | Relias Emergency Medicine Specialists of Tupelo LLC | Emergency Medicine | 830 S Gloster St, Tupelo, MS 38801-4934 | 2015-11-17 |
| 1780089821 | Advanced Healing Solutions LLC | Emergency Medicine | 5221b Cliff Gookin Blvd, Tupelo, MS 38801-6781 | 2014-10-31 |
| 1316352933 | Gisela Kathleen Williams | Emergency Medicine | 1665 S Green St, Tupelo, MS 38804-6556 | 2014-06-23 |
| 1932521820 | Tupelo Emergency Care Associates LLC | Emergency Medicine | 830 S Gloster St, Tupelo, MS 38801-4934 | 2014-01-10 |
| 1225299035 | Genti Tahiraj | Emergency Medicine | 830 S Gloster St, Tupelo, MS 38801-4934 | 2008-06-24 |
| 1548446966 | Wound Healing Group, P.a. | Emergency Medicine | 5221b Cliff Gookin Blvd, Tupelo, MS 38801-6781 | 2008-01-16 |
| Find all providers in TUPELO | ||||
Please comment or provide details below to improve the information on DR. GREGORY JENSEN.
| 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.