DIANE CLARY JENSEN


Address: 4630 Gateside Ln Se, Marietta, GA 30067-4087
Phone: 7709840949

DIANE CLARY JENSEN (NPI# 1134156086) 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) 1134156086
Entity Type Individual
Full Name DIANE CLARY JENSEN
Credential MD
Practice Address 4630 Gateside Ln Se
Marietta
GA 30067-4087
Mailing Address 68 Global Dr
Suite 100
Greenville
SC 29607-4628
Practice Telephone 7709840949
Mailing Telephone 8646442700
Mailing Fax Number 8646442709
Enumeration Date 2006-06-27
Last Update Date 2010-10-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
027978 GA Allopathic & Osteopathic Physicians

Other Providers DIANE JENSEN

NPI Name Taxonomy Address Enumeration
1366758930 Diane M Jensen Social Worker 2661 County Highway I, Chippewa Falls, WI 54729-5407 2010-08-20
1710128624 Diane Mary Jensen Case Manager/Care Coordinator 2603 G St, Bakersfield, CA 93301-2828 2009-03-23

Office Location

Street Address 4630 GATESIDE LN SE
City MARIETTA
State GA
Zip Code 30067-4087

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689140022 Sherry Wilson King Marriage & Family Therapist 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 2018-10-23
1053886861 Precious Angel Home Care Services Inc Adult Companion 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 2018-10-08
1194206466 Joshua P Moree Chiropractor 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 2018-08-24
1841778081 Sun Pediatrics LLC Pediatrics 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 2018-07-31
1508358714 Mbs Wellness Group, LLC Durable Medical Equipment & Medical Supplies 62 Shawnee Trail Se, Marietta, GA 30067 2018-06-04
1497254213 Allison M Jancik Chiropractor 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 2018-02-07
1801304969 Danielle Ann Dietrich Chiropractor 805 Winterset Pkwy Se, Marietta, GA 30067 2018-01-11
1740794866 Jessica Lofgren Chiropractor 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 2017-11-28
1871026393 Rhonda Dawes Milner Counselor 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 2017-04-11
1457894537 Carcelia Delk Counselor 1110 Augusta Dr Se, Marietta, GA 30067 2016-11-22
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740454412 Sandra Parada-orrego Radiology 2963 Nestle Creek Dr, Marietta, GA 30062-4802 2008-04-14
1073705893 Joel Edward Berenson Radiology 702 Canton Road, Marietta, GA 30060 2007-08-15
1013053073 Thomas Patrick Murphy Radiology 598 Nancy Street Suite 150, Marietta, GA 30114-6312 2007-01-29
1578644258 John Theodore Perry IIi Radiology 711 Canton Rd Ne Ste 220, Marietta, GA 30060-8949 2006-10-18
1881654648 Kenneth P Lynch IIi Radiology 598 Nancy St Nw, Suite 100, Marietta, GA 30060-1362 2006-03-24
1871578971 Eric Scott Brecher Radiology 241 W Market St, Marietta, PA 17547-1413 2005-12-12
1932615648 T2 Imaging Radiology 1070 Woodlawn Dr Ne, Marietta, GA 30068 2017-12-18
1164777934 Mohit K Gupta Radiology 790 Church St Ne Ste 400, Marietta, GA 30060 2012-07-18
1841550886 Dale Kyung Han Radiology 790 Church St Ne Ste 400, Marietta, GA 30060 2012-05-24
1013207984 Nancy Chioma Okechukwu Radiology 790 Church St Ne Ste 400, Marietta, GA 30060-8957 2011-04-13
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Competitor

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City MARIETTA
Zip Code 30067

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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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