DR. RICHARD LEE JENSEN (NPI# 1730190810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730190810 |
| Entity Type | Individual |
| Full Name | DR. RICHARD LEE JENSEN |
| Credential | D.O. |
| Practice Address |
15525 S Park Ave Suite 113 South Holland IL 60473-1308 |
| Practice Telephone | 7083315100 |
| Practice Fax Number | 7083315005 |
| Mailing Telephone | 7083315100 |
| Mailing Fax Number | 7083315005 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUECROSS BLUE SHIELD | 0001625942 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700108669 | Richard Andreas Jensen | Preventive Medicine | 204 Via Ithaca, Newport Beach, CA 92663-4908 | 2010-02-19 |
| 1356419550 | Richard Bruce Jensen | Optometrist | 414 Garden St, Titusville, FL 32796-2848 | 2006-12-04 |
| 1942234513 | Richard Roy Jensen | Physical Therapist | 3383 Lost Creek Rd, Anaconda, MT 59711 | 2006-07-10 |
| 1083671408 | Richard A Jensen | Internal Medicine | 2333 W 57th St Ste 101, Sioux Falls, SD 57108-5054 | 2006-04-28 |
| 1386940229 | Richard Andrew Jensen | Counselor | 14277 Road 28, Madera, CA 93638-5715 | 2011-02-09 |
| 1801104740 | Richard Scott Jensen | Chiropractor | 237 N Bluff St, Suite A, St George, UT 84770-4543 | 2010-09-14 |
| 1427298975 | Richard Clayne Jensen | Anesthesiology | 707 Sw Washington St, Suite 700, Portland, OR 97205-3536 | 2009-02-24 |
| 1275741019 | Richard Edmund Jensen | Dentist | 2460 Finger Rd, Green Bay, WI 54302-4210 | 2007-05-17 |
| 1922156496 | Richard W Jensen | Chiropractor | 520 Highway 96 W, Ste 200, Shoreview, MN 55126-1962 | 2007-01-08 |
| 1447313234 | Richard A Jensen | Optometrist | 1100 9th Ave, Ms C4-opt, Seattle, WA 98101-2756 | 2006-12-19 |
| Street Address |
15525 S PARK AVE SUITE 113 |
| City | SOUTH HOLLAND |
| State | IL |
| Zip Code | 60473-1308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558372615 | Jerry Lee Jensen | Family Medicine | 15525 S Park Ave, Suite 113, South Holland, IL 60473-1308 | 2006-08-11 |
| 1861863532 | Awesome Star Enterprise Inc | Non-emergency Medical Transport (VAN) | 15525 S Park Ave, Suite 100, South Holland, IL 60473-1308 | 2015-10-07 |
| 1699184846 | Elvina Stegall | Clinic/Center | 15525 S Park Ave, Suite 114, South Holland, IL 60473-1308 | 2014-08-12 |
| 1467787481 | Qualitylife Healthcare,llc | Home Health | 15525 S Park Ave, Suite 103a, South Holland, IL 60473-1308 | 2009-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558826453 | Beverly Hadley, Dds P.C. | Dentist | 16282 Prince Drive, South Holland, IL 60473 | 2019-02-05 |
| 1053830828 | Caring Shepherds Health Care Inc | In Home Supportive Care | 15525 South Park Ave, Suite 103b, South Holland, IL 60473 | 2017-09-13 |
| 1972039469 | Dipeeka Patel | Nurse Practitioner | 430 E 162nd St # 487, South Holland, IL 60473 | 2017-05-03 |
| 1134576036 | A&j Transportation LLC | Non-emergency Medical Transport (VAN) | 16610 Langley Ave, South Holland, IL 60473 | 2016-05-20 |
| 1902204902 | Np Prn LLP | Clinic/Center | 16456 Dobson, South Holland, IL 60473 | 2014-12-08 |
| 1033415328 | Twfj Inc | Private Vehicle | 15059 Forestview, South Holland, IL 60473 | 2011-02-03 |
| 1871751396 | Arlene Gardner | Counselor | 16107 Lasalle Street, South Holland, IL 60473 | 2008-05-30 |
| 1952576233 | Harvey Family Center | Voluntary or Charitable | 16247 Wausau Ave., South Holland, IL 60473 | 2008-04-28 |
| 1548452725 | Chirospaaah | Chiropractor | 944 East 162nd St., South Holland, IL 60473 | 2007-08-13 |
| 1033313341 | Myra D Staples | Social Worker | 430 East 167th Street, South Holland, IL 60473 | 2007-06-12 |
| Find all providers in zip 60473 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1376167809 | Francesco Bajani | Surgery | 664 N Dearborn St Apt 2f, Chicago, IL 60654-3848 | 2020-06-01 |
| 1972123099 | Andrea Liu | Surgery | 5841 S Maryland Ave Mc6040, Chicago, IL 60637-1443 | 2020-04-18 |
| 1750917183 | Alberto Maria Fratti | Surgery | 901 S Ashland Ave Apt 711, Chicago, IL 60607-4088 | 2020-03-17 |
| 1841845047 | Barijuve Surgical LLC | Surgery | 380 E Northwest Hwy Ste 200, Des Plaines, IL 60016-2274 | 2019-08-05 |
| 1164081782 | Sean Park | Surgery | 1739 Tudor Ln Unit 308, Northbrook, IL 60062-3778 | 2019-06-07 |
| 1376014175 | Edwardsville Physicians Group LLC | Surgery | 441 South State Route 157 Suite 102, Edwardsville, IL 62025-4012 | 2018-12-06 |
| 1316421324 | Erica Lester | Surgery | John H Stroger, 1969 Ogden Ave, Chicago, IL 60612 | 2018-09-17 |
| 1023513389 | Crystal Siyu Zhang | Surgery | 2160 S 1st Ave Bldg 3210, Maywood, IL 60153 | 2018-03-28 |
| 1376047381 | Richard Lawrence Nelson | Surgery | 1603 W. Taylor St., Room 983, Chicago, IL 60612-4394 | 2018-03-23 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH HOLLAND |
| Zip Code | 60473 |
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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.