ERIC RICHARD JENSEN (NPI# 1700818697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700818697 |
| Entity Type | Individual |
| Full Name | ERIC RICHARD JENSEN |
| Credential | MD |
| Practice Address |
2825 E. Barnett Rd Medford OR 97504-8332 |
| Mailing Address |
100 East Main St Suite C Medford OR 97501-6041 |
| Practice Telephone | 5417897000 |
| Mailing Telephone | 5417897000 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
MD23858 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 286331 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871922666 | Eric James Jensen | Registered Nurse | 8092 W Paradise Ln Apt 1001, Peoria, AZ 85382-4977 | 2013-11-02 |
| 1639312150 | Eric Jensen | Chiropractor | 6603 Queen Ave S Ste 3, Richfield, MN 55423-2075 | 2009-04-14 |
| 1770526857 | Eric Hans Jensen | Surgery | 420 Delaware St Se, Mmc 195, University of Minnesota Phycians, Minneapolis, MN 55455 | 2006-06-14 |
| 1114573540 | Eric Richard Jensen | Case Manager/Care Coordinator | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2019-08-12 |
| 1306401583 | Eric Andrew Jensen | Nurse Anesthetist, Certified Registered | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2019-05-03 |
| 1437531936 | Eric Jensen | Family Medicine | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2015-06-22 |
| 1346620812 | Eric Jensen | Dentist | 13713 Linden Dr, Spring Hill, FL 34609-5023 | 2015-06-01 |
| 1174894885 | Eric Jensen | Counselor | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2012-01-26 |
| 1558645242 | Eric J Jensen | Pharmacist | 5785 N 1st St, Fresno, CA 93710-6203 | 2011-09-29 |
| 1235260548 | Eric Jensen | Rehabilitation Practitioner | 625 Fair Oaks Ave, Suite 300, South Pasadena, CA 91030-2630 | 2007-03-08 |
| Street Address |
2825 E. BARNETT RD |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760470207 | Laurel Bell | Pediatrics | 2825 E. Barnett Rd, Medford, OR 97504-8179 | 2005-10-10 |
| 1427339738 | Diya F Mohammad | Internal Medicine | 2825 E. Barnett Rd, Medford, OR 97504-8332 | 2011-08-31 |
| 1689831927 | Anna Antonopulos | Pediatrics | 2825 E. Barnett Rd, Medford, OR 97504-8332 | 2008-05-22 |
| 1275671414 | Bryan Kim | Internal Medicine | 2825 E. Barnett Rd, Npi, Medford, OR 97504 | 2007-02-01 |
| 1851341531 | Anthony Mistretta | Internal Medicine | 2825 E. Barnett Rd, Medford, OR 97504-8332 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649235219 | Victoria V Harris | Emergency Medicine | 100 E. Main Street, Suite C, Medford, OR 97501-6041 | 2006-04-18 |
| 1770646721 | Larry R Brunzlick | Emergency Medicine | 135 South Gibson Street, Medford, WI 54451 | 2006-12-19 |
| 1366407934 | Kenneth R Buccino | Emergency Medicine | 100 E. Main Street, Suite C, Medford, OR 97501-6041 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139418 | Larry Michael Wiedenhoft | Emergency Medicine | 465 Manzanita Ave, Manzanita, OR 97130-0810 | 2020-03-17 |
| 1184829244 | Se Jung Shin Md Professional Corporation | Emergency Medicine | 13305 Nw Cornell Road, Suite C, Portland, OR 97229 | 2007-06-19 |
| 1104028059 | Annameika Eve Goldring | Emergency Medicine | 3181 S.w. Sam Jackson Park Rd., Portland, OR 97239 | 2007-06-04 |
| 1053467985 | Brian Murray Auld | Emergency Medicine | 3621 Elderberry Dr S, Salem, OR 97302-4054 | 2007-01-25 |
| 1750448981 | Carl M Melina | Emergency Medicine | 18610 Nw Cornell Road, Suite 100, Hillsboro, OR 97124-9923 | 2007-01-03 |
| 1023103546 | Michael F. Mccaskill | Emergency Medicine | 436 Timber Lane, Grants Pass, OR 97526 | 2006-10-03 |
| 1366486912 | Mark A Stefanelli | Emergency Medicine | 2647 Grand Ave, Astoria, OR 97103-3329 | 2006-06-15 |
| 1801845953 | David Ernest Magaret | Emergency Medicine | 1201 Ne Elm St, Prineville, OR 97754-1206 | 2006-05-08 |
| 1003870536 | Brad Barlow | Emergency Medicine | 351 Sw 9th St, Ontario, OR 97914-2639 | 2006-04-13 |
| 1285602086 | Erin P Reilly | Emergency Medicine | 860 Beltline Rd, Springfield, OR 97477-1091 | 2006-03-09 |
| Find all providers with the same taxonomy | ||||
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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.