DR. JEFFREY KENNETH JENKS (NPI# 1154618858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154618858 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY KENNETH JENKS |
| Credential | D.O. |
| Practice Address |
5515 Peach St Erie PA 16509-2603 |
| Mailing Address |
1807 W 53rd St Erie PA 16509-1707 |
| Practice Telephone | 8148688217 |
| Mailing Telephone | 6364844441 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2016-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 34012103 | OH | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | OT014274 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972824423 | Jeffrey Daniel Jenks | Internal Medicine | 200 W Arbor Dr # Mc8208, San Diego, CA 92103-1911 | 2010-06-18 |
| 1063452167 | Jeffrey Pearson Jenks | Specialist | 2955 Professional Pl, Suite 201, Colorado Springs, CO 80904-8139 | 2006-06-07 |
| Street Address |
5515 PEACH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16509-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263973 | Millcreek Community Hospital | General Acute Care Hospital | 5515 Peach St, Erie, PA 16509-2603 | 2005-05-31 |
| 1942814546 | Zeinab Altaher | Pharmacist | 5515 Peach St, Erie, PA 16509-2603 | 2020-09-02 |
| 1669086161 | Mikayla Erin Matheny | Pharmacist | 5515 Peach St, Erie, PA 16509-2695 | 2020-09-02 |
| 1467065615 | Ashley Diane Crandall | Pharmacist | 5515 Peach St, Erie, PA 16509-2603 | 2020-08-27 |
| 1538787221 | Lex Herwen Barte I | Podiatrist | 5515 Peach St, Erie, PA 16509-2603 | 2020-07-08 |
| 1831717826 | Usman Ahmed | Internal Medicine | 5515 Peach St, Erie, PA 16509-2603 | 2020-07-07 |
| 1871110700 | Peter Vincent Finelli | Family Medicine | 5515 Peach St, Erie, PA 16509-2695 | 2020-06-26 |
| 1376160366 | Leng Xiong | Podiatrist | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
| 1811514805 | Michael Driscoll | Orthopaedic Surgery | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
| 1750908745 | Morgan Michele Gallo | Podiatrist | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598243073 | Austin Dudenhoefer | Physical Therapist | 8270 Peach St Ste 400, Erie, PA 16509 | 2018-08-06 |
| 1770092884 | Latasha Marie Phillips | Social Worker | 5100 Peach Street, Erie, PA 16509 | 2017-09-21 |
| 1932621307 | Mitchell Meagher | Internal Medicine | 5515 Peach St., Attn: Medical Education, Erie, PA 16509 | 2017-07-07 |
| 1760903702 | Tricia Lee Cubitt | Social Worker | 4756 Springview Drive, Apartment 310, Erie, PA 16509 | 2017-06-29 |
| 1790191617 | Ashley Russell | Physical Therapy Assistant | 1267 South Hill Road, Erie, PA 16509 | 2014-07-11 |
| 1295084085 | Michael David Mccafferty | Internal Medicine | 5332 Rome Court Drive, 301, Erie, PA 16509 | 2012-09-07 |
| 1427303619 | Michelle Mary Dillaene Tobin | Social Worker | 828 W. Gore Road, Erie, PA 16509 | 2012-07-13 |
| 1962761411 | Moshood B Martins | Dentist | 7040 Peach Street, Erie, PA 16509 | 2012-05-03 |
| 1770854549 | Peach Street Dental & Dentures, PC. | Dentist | 7040 Peach St, Erie, PA 16509 | 2012-01-25 |
| 1881989515 | Richard R Sambuchino | Dentist | 4944 Peach Street, Erie, PA 16509 | 2011-06-10 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821476243 | Colin Macelroy Vroome Jr. | Orthopaedic Surgery | Hand, Microsurgery, Reconstructive Orthopedics, LLP, 300 State St. Suite 205, Erie, PA 16507 | 2015-05-18 |
| 1275782617 | James Edward Mraz | Orthopaedic Surgery | 204 West 26th St, Erie, PA 16508 | 2008-09-10 |
| 1205890407 | Thomas J Fessler | Orthopaedic Surgery | 100 Peach Street, Suite 400, Erie, PA 16507 | 2006-04-14 |
| 1194789396 | Mark S Buseck | Orthopaedic Surgery | 2315 Myrtle St Ste L10, Erie, PA 16502-4611 | 2006-04-14 |
| 1225031149 | David M Babins | Orthopaedic Surgery | 300 State St, Ste 400a, Erie, PA 16507-1427 | 2005-05-24 |
| 1093718926 | Gary J Cortina | Orthopaedic Surgery | 300 State St Fl 4, Erie, PA 16507-1427 | 2005-05-24 |
| 1376546358 | Nick Stefanovski | Orthopaedic Surgery | 100 Peach St Ste 400, Erie, PA 16507-1423 | 2005-05-24 |
| 1811514805 | Michael Driscoll | Orthopaedic Surgery | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
| 1952927949 | Alec David Grossman | Orthopaedic Surgery | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
| 1417573973 | Stepan Shumyak | Orthopaedic Surgery | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-21 |
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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.