DR. SELISA SMITSON JENKS MD


Address: 202 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-3769
Phone: 7195796890

DR. SELISA SMITSON JENKS MD (NPI# 1013128339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013128339
Entity Type Individual
Full Name DR. SELISA SMITSON JENKS MD
Credential M.D.
Practice Address 202 E Cheyenne Mountain Blvd
Colorado Springs
CO 80906-3769
Mailing Address 25 Maple Ave
Colorado Springs
CO 80906-3137
Practice Telephone 7195796890
Mailing Telephone 7193382118
Enumeration Date 2007-05-25
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 30528 CO Allopathic & Osteopathic Physicians

Office Location

Street Address 202 E CHEYENNE MOUNTAIN BLVD
City COLORADO SPRINGS
State CO
Zip Code 80906-3769

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164074852 Wyatt A Machupa Physical Therapist 202 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-3769 2019-07-12
1427483486 Miles C. Humble, LLC Dentist 202 E Cheyenne Mountain Blvd, Ste. E, Colorado Springs, CO 80906-3769 2013-09-10
1396177051 Tiffany Ann Allen Physical Therapist 202 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-3769 2013-08-05
1538412606 S. Whitcomb LLC Hearing Instrument Specialist 202 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-3769 2012-10-26
1053678441 Stacy May Whitcomb Hearing Instrument Specialist 202 E Cheyenne Mountain Blvd, Suite L, Colorado Springs, CO 80906-3769 2012-04-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437797339 Michael Crise Behavior Technician 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 2019-12-11
1730720541 Amanda Salinas Massage Therapist 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 2019-10-02
1225511488 Sheila Meggison Massage Therapist 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 2018-09-12
1316429756 Vivus Counseling Services LLC Counselor 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 2018-09-01
1043796949 Erin Lee Recinos Nurse Practitioner 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 2018-07-13
1982103875 Savannah Adeline Rentrop Behavior Technician 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 2018-02-06
1205335288 Ross Knowlton Behavior Technician 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 2018-02-06
1942709845 Adrienne Bohlen Behavior Technician 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 2018-02-06
1881110088 Christine Gonzales Nurse Practitioner 2739 E Las Vegas St, Colorado Springs, CO 80906 2017-08-18
1225568470 Larry Alwine Counselor 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 2017-06-19
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1215584321 Belleview Spince and Wellnces Cos LLC General Practice 1257 Lake Plaza Dr Ste 105, Colorado Springs, CO 80906-7300 2019-08-22
1215499967 Stanley Leon Rapaport General Practice 3920 E San Miguel St Apt 129, Colorado Springs, CO 80909-3416 2019-04-02
1972009637 Optimal Therapy Billing General Practice 6547 N Academy Blvd Ste 1131, Colorado Springs, CO 80918-8342 2018-04-02
1710487939 Imed Integration LLC General Practice 6190 Lehman Dr Ste 100b, Colorado Springs, CO 80918-3445 2018-02-14
1982102406 Medevals of Colorado, Inc. General Practice 1233 Lake Plaza Dr Ste B, Colorado Springs, CO 80906-3567 2018-01-30
1699164152 Peak Performance Pt/md,llc General Practice 540 Mesa Vista Ct, Colorado Springs, CO 80904-2541 2015-01-21
1548668429 Paul Baker Md PC General Practice 9703 Pinedale Dr, Colorado Springs, CO 80920-2443 2014-12-09
1235575457 Barbara Meduna General Practice 14530 Silverton Rd, Colorado Springs, CO 80921-2944 2013-05-14
1184972598 Courtney Crance General Practice 1715 N Weber St Ste 330, Colorado Springs, CO 80907-7554 2012-08-16
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Competitor

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City COLORADO SPRINGS
Zip Code 80906

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Dataset Information

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.

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