JOSEPH JENSEN (NPI# 1679663249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679663249 |
| Entity Type | Individual |
| Full Name | JOSEPH JENSEN |
| Credential | MD |
| Practice Address |
4301 W Markham St # 783 Little Rock AR 72205-7101 |
| Practice Telephone | 5016868000 |
| Practice Fax Number | 5016868551 |
| Mailing Telephone | 5016868000 |
| Mailing Fax Number | 5016868551 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2011-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
N-8016 | AR | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
N-8016 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 020033266 | 01 | |
| AR | 117631001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700911518 | Joseph Lehigh Jensen IIi | Family Medicine | 541 Second Ave, Twisp, WA 98856-9863 | 2007-02-22 |
| 1710996707 | Joseph D. Jensen | Internal Medicine | 520 Medical Dr Ste 300, Bountiful, UT 84010-8925 | 2006-08-07 |
| 1740281500 | Joseph Dean Jensen | Specialist | 7396 Union Park Ave, 201, Midvale, UT 84047-6700 | 2005-08-02 |
| 1730623521 | Joseph Aloysius Jensen | Psychologist | 3501 Nw Lowell St, #201, Silverdale, WA 98383-7851 | 2016-12-13 |
| 1255887675 | Joseph Jensen IIi | Early Intervention Provider Agency | 907 N Pope St, Silver City, NM 88061-5150 | 2016-08-26 |
| 1245681006 | Joseph Jensen | Student in an Organized Health Care Education/Training Program | 8100 W 78th St Ste 100, Edina, MN 55439-2529 | 2016-06-23 |
| 1164463477 | Joseph W Jensen | Surgery | 1580 W Antelope Dr, #230, Layton, UT 84041-1160 | 2006-06-09 |
| Street Address |
4301 W MARKHAM ST # 783 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960194 | Dennis E Mcdonnell | Neurological Surgery | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2005-05-27 |
| 1255931226 | Satya Narayana Patro | Radiology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-10-29 |
| 1962019182 | Houston Cotton | Physician Assistant | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-09-30 |
| 1144836495 | Andrea Barnes | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-09-22 |
| 1053927012 | Abigail E Nichols | Advanced Practice Midwife | 4301 W Markham St # 783, Little Rock, AR 72205-7199 | 2020-09-16 |
| 1629682653 | Christina Mantione | Social Worker | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-09-08 |
| 1467065250 | Christina Louise Rone | Registered Nurse | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-08-31 |
| 1700499506 | Asjia Johnson | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-08-31 |
| 1982215968 | Brooke Kathlen Lea | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-08-12 |
| 1003424243 | Rachel Sloan | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063050573 | Mgh Surgicalist Pllc | Surgery | 5 Saint Vincent Cir, Little Rock, AR 72205-5412 | 2019-12-16 |
| 1306136148 | Anna Privratsky | Surgery | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2011-04-13 |
| 1588754154 | Ronald Robertson | Surgery | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-10-13 |
| City | LITTLE ROCK |
| Zip Code | 72205 |
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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.