JERRY B JENNINGS (NPI# 1629094305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629094305 |
| Entity Type | Individual |
| Full Name | JERRY B JENNINGS |
| Credential | M.D. |
| Practice Address |
115 Airport Rd Sulphur Springs TX 75482-2105 |
| Mailing Address |
Po Box 100 Paris TX 75461-0100 |
| Practice Telephone | 9034394040 |
| Mailing Telephone | 9037856029 |
| Mailing Fax Number | 9037855421 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
D4169 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386605269 | Jerry Jennings | Family Medicine | 3601 Highway 157 N, Mansfield, TX 76063-8846 | 2006-03-30 |
| Street Address |
115 AIRPORT RD |
| City | SULPHUR SPRINGS |
| State | TX |
| Zip Code | 75482-2105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396740387 | William E Dietze | Specialist | 115 Airport Rd, Sulphur Springs, TX 75482-2105 | 2005-06-16 |
| 1912523531 | Amanda G Camacho | Registered Nurse | 115 Airport Rd, Sulphur Springs, TX 75482-2105 | 2020-06-19 |
| 1255844650 | Chun-hong Cathy Zhu | Pharmacist | 115 Airport Rd, Sulphur Springs, TX 75482-2105 | 2017-11-08 |
| 1275057358 | Breanne Miles | Nurse Practitioner | 115 Airport Rd, Sulphur Springs, TX 75482-2105 | 2017-07-31 |
| 1457702201 | Texas Regional Anesthesia Medical Group, P.a | Nurse Anesthetist, Certified Registered | 115 Airport Rd, Sulphur Springs, TX 75482-2105 | 2016-06-23 |
| 1194174524 | Christus Hopkins Health Alliance | Rehabilitation Unit | 115 Airport Rd, Sulphur Springs, TX 75482-2105 | 2016-06-07 |
| 1033568621 | Christus Hopkins Health Alliance | General Acute Care Hospital | 115 Airport Rd, Sulphur Springs, TX 75482-2105 | 2016-06-06 |
| 1710353487 | Abigail Martin | Nurse Practitioner | 115 Airport Rd, Sulphur Springs, TX 75482-2105 | 2015-08-18 |
| 1093195513 | Grayce Arah Ebai | Pharmacist | 115 Airport Rd, Sulphur Springs, TX 75482-2105 | 2015-06-01 |
| 1356751788 | Hopkins County Hospital District | Skilled Nursing Facility | 115 Airport Rd, Sulphur Springs, TX 75482-2105 | 2014-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083211866 | Carolyn Sue Wheeler | Pharmacist | 809 Gilmer Rd, Sulphur Springs, TX 75482 | 2020-10-05 |
| 1952940371 | Max Baxter II | Technician | 130 Sherry Lane, Sulphur Springs, TX 75482 | 2020-01-02 |
| 1700427093 | Talon Thomas Bell | Chiropractor | 2655 Texas Highway 11 East, Sulphur Springs, TX 75482 | 2019-10-08 |
| 1184275711 | Community Health Service Agency, Inc. | Clinic/Center | 105-ll Medical Plaza, Sulphur Springs, TX 75482 | 2019-09-25 |
| 1184107211 | Julie Ann Gustafson | Registered Nurse | 60 Cr 2323, Sulphur Springs, TX 75482 | 2018-09-14 |
| 1437639317 | Heath White | Physical Therapy Assistant | 3846 Fm 2285, Sulphur Springs, TX 75482 | 2018-08-20 |
| 1336650175 | Sulphur Springs Chiropractic Associates Inc | Chiropractor | 207 Jefferson St E, Sulphur Springs, TX 75482 | 2017-10-19 |
| 1497027361 | Daniel Lawrence, Dds, PC | Clinic/Center | 620 Church Street, Sulphur Springs, TX 75482 | 2012-02-07 |
| 1952607467 | Travis J Wies | Nurse Practitioner | 1339 S Broadway St, Sulphur Springs, TX 75482 | 2011-01-31 |
| 1205163458 | Ashlei Thomas | Social Worker | 803 Putman St, Sulphur Springs, TX 75482 | 2009-11-09 |
| Find all providers in zip 75482 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003881814 | Diagnostic Swallowing Services LLC | Radiology | 34 County Road 1102, Sulphur Springs, TX 75482-6620 | 2006-02-23 |
| 1033396361 | Cynthia A Mcclure | Radiology | 115 Airport Rd, Sulphur Springs, TX 75482-2105 | 2008-01-29 |
| 1306046511 | Cynthia A Mcclure King Md Pa | Radiology | 115 Airport Rd, Sulphur Springs, TX 75482-2105 | 2007-07-25 |
| 1750357117 | Diagnostic Swallowing Services | Radiology | 34 County Road 1102, Sulphur Springs, TX 75482-6620 | 2006-02-27 |
| 1669448023 | Diagnostic Swallowing Services LLC | Radiology | 34 County Road 1102, Sulphur Springs, TX 75482-6620 | 2006-02-27 |
| 1578539938 | Diagnostic Swallowing Services LLC | Radiology | 34 County Road 1102, Sulphur Springs, TX 75482-6620 | 2006-02-27 |
| 1477529832 | Diagnostic Swallowing Services LLC | Radiology | 34 County Road 1102, Sulphur Springs, TX 75482-6620 | 2006-02-27 |
| 1437125804 | Diagnostic Swallowing Services LLC | Radiology | 34 County Road 1102, Sulphur Springs, TX 75482-6620 | 2006-02-27 |
| 1366418907 | Diagnostic Swallowing Services LLC | Radiology | 34 County Road 1102, Sulphur Springs, TX 75482-6620 | 2006-02-24 |
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|---|---|---|---|---|
| 1700492311 | Mobile Life-saving Health Services LLC | Radiology | 12522 Reverence Way, Cypress, TX 77429-0038 | 2020-09-18 |
| 1629683818 | Springwood Radiology Associates, Pllc | Radiology | 3010 Palmer Way, Spring, TX 77380-4081 | 2020-09-14 |
| 1861000572 | Benchmark Imaging Center LLC | Radiology | 510 Victoria Ln Ste 2, Harlingen, TX 78550-3239 | 2020-07-20 |
| 1174131049 | Specialty Imaging Consultants LLC | Radiology | 4320 Westway Ave, Dallas, TX 75205-3728 | 2020-07-16 |
| 1689294118 | Yolanda Salas Vergara | Radiology | 215 E Quincy St Ste 100, San Antonio, TX 78215-2032 | 2020-04-24 |
| 1568095123 | Century Radiology Medical Group, Inc | Radiology | 7102 Bethencourt, San Antonio, TX 78209-3407 | 2020-02-21 |
| 1760030852 | Francis Joseph Carabin | Radiology | 318 E Nakoma St, San Antonio, TX 78216-2795 | 2019-08-31 |
| 1922650605 | Hw Diagnostics LLC | Radiology | 18652 Mckay Dr Ste 200, Humble, TX 77338-5716 | 2019-07-12 |
| 1780246561 | Imaging Consultants | Radiology | 7250 Dallas Pkwy Ste 400, Plano, TX 75024-4931 | 2019-07-02 |
| 1366000531 | Interventional Partners, LLC | Radiology | 1650 Round Rock Ave Ste 100, Round Rock, TX 78681-4082 | 2019-06-03 |
| Find all providers with the same taxonomy | ||||
| City | SULPHUR SPRINGS |
| Zip Code | 75482 |
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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.