DR. PETER C JENKINS (NPI# 1083761019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083761019 |
| Entity Type | Individual |
| Full Name | DR. PETER C JENKINS |
| Credential | MD |
| Practice Address |
1801 N Senate Blvd. Suite 635 Indianapolis IN 46202-1239 |
| Mailing Address |
250 N Shadeland Ave Suite 130 Indianapolis IN 46219-4959 |
| Practice Telephone | 3179631400 |
| Practice Fax Number | 3179622595 |
| Mailing Telephone | 3179630860 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2015-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 01074216A | IN | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 4301101564 | MI | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MT185869 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201233600 | 05 |
| Street Address |
1801 N SENATE BLVD. SUITE 635 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-1239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265794663 | Leslee A Kaper | Nurse Practitioner | 1801 N Senate Blvd., Suite 635, Indianapolis, IN 46202-1212 | 2012-06-12 |
| 1043581838 | Timothy P Burns | Physician Assistant | 1801 N Senate Blvd., Suite 535, Indianapolis, IN 46202-1204 | 2012-01-25 |
| 1689903916 | Leeann Hughes Vrabel | Physician Assistant | 1801 N Senate Blvd., Suite 535, Indianapolis, IN 46202-1204 | 2009-12-16 |
| 1770716474 | Jamie A Stonehouse | Registered Nurse | 1801 N Senate Blvd., Suite 635, Indianapolis, IN 46202-1239 | 2009-08-27 |
| 1124251160 | Lindsay T Anderson | Nurse Practitioner | 1801 N Senate Blvd., Suite 635, Indianapolis, IN 46202-1212 | 2009-08-25 |
| 1811180110 | Melissa Sue Hockaday | Nurse Practitioner | 1801 N Senate Blvd., Suite 635, Indianapolis, IN 46202-1212 | 2007-08-21 |
| 1841495611 | Brian L Brewer | Surgery | 1801 N Senate Blvd., Suite 635, Indianapolis, IN 46202-1212 | 2007-06-20 |
| 1750599510 | Ranjeet Singh | Internal Medicine | 1801 N Senate Blvd., Suite 230, Indianapolis, IN 46202-1252 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| 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 |
|---|---|---|---|---|
| 1972162246 | Christopher Anthony Lawton | Surgery | 635 Barnhill Dr Ste 116, Indianapolis, IN 46202-5126 | 2019-06-11 |
| 1013436922 | Stephen Neil Quigley | Surgery | 550 University Blvd # Uh1295, Indianapolis, IN 46202-5149 | 2017-09-12 |
| 1881120434 | Henry Lee Roberts | Surgery | 545 Barnhill Dr # 125, Indianapolis, IN 46202 | 2017-05-02 |
| 1407293566 | Harry Dwight Brickley Jr. | Surgery | 1037 Tuckahoe, Indianapolis, IN 46260 | 2013-05-30 |
| 1992044572 | John Duncan Macdougall | Surgery | 7202 Dean Rd, Indianapolis, IN 46240-3628 | 2013-02-02 |
| 1548524176 | Jeffrey Lastfogel | Surgery | 350 N Meridian St Unit 807, Indianapolis, IN 46204-1773 | 2012-06-28 |
| 1003178898 | Kyle Norris Seudeal | Surgery | 5255 E Stop 11 Rd Ste 450, Indianapolis, IN 46237 | 2012-06-08 |
| 1679832463 | Kalyan Chowdary Gorantla | Surgery | 8402 Harcourt Rd Ste 815, Indianapolis, IN 46260-2057 | 2012-05-14 |
| 1124306824 | Amanda Rae Stram | Surgery | 1426 E Vermont St, Indianapolis, IN 46201-3045 | 2011-07-28 |
| 1790071280 | Sanjay Mohanty | Surgery | 550 University Blvd Ste 1295, Indianapolis, IN 46202-5149 | 2011-06-22 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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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.