ROBERT WILLIAM JENSEN (NPI# 1164469698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164469698 |
| Entity Type | Individual |
| Full Name | ROBERT WILLIAM JENSEN |
| Credential | MD |
| Practice Address |
11315 Bridgeport Way Sw Lakewood WA 98499-3004 |
| Mailing Address |
505 S 336th St Suite 600 Federal Way WA 98003-6328 |
| Practice Telephone | 2535881711 |
| Practice Fax Number | 2535816588 |
| Mailing Telephone | 2538386180 |
| Mailing Fax Number | 2538386418 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2008-02-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD00043539 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | BSWA | 2166JE | 01 |
| WA | LIWA | 0186984 | 01 |
| WA | BSWA | 2164JE | 01 |
| WA | 8402695 | 05 | |
| WA | LIWA | 0186983 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356684310 | Robert T Jensen | Special Hospital | 9608 Wadsworth Dr, Bethesda, MD 20817-2455 | 2013-03-28 |
| 1922107747 | Robert Arthur Jensen | Dentist | 421 Aspen Airport Business Ctr Ste F, Aspen, CO 81611-3551 | 2006-09-21 |
| 1720099849 | Robert L Jensen | Dentist | 2480 White Bear Ave N Ste 201, Saint Paul, MN 55109-4567 | 2006-08-11 |
| 1255376281 | Robert T Jensen | Dentist | 7100 Corporate Way, Dayton, OH 45459-4227 | 2006-06-16 |
| 1255394755 | Robert C Jensen | Chiropractor | 9251 E Peakview Ave, Englewood, CO 80111-5331 | 2006-04-07 |
| 1437147048 | Robert Mark Jensen | Plastic Surgery | 1353 E Mcandrews Rd, Medford, OR 97504-6105 | 2005-10-07 |
| 1275184566 | Robert Edward Jensen | Pharmacy | 3825 S Noland Rd, Independence, MO 64055-3344 | 2019-09-27 |
| 1578083606 | Robert Anthony Jensen | Counselor | 24077 State Highway 49, Nevada City, CA 95959-8519 | 2017-06-20 |
| 1629424171 | Robert Jensen | Audiologist | 730 N College Rd Ste B, Twin Falls, ID 83301-3382 | 2016-05-13 |
| 1760853600 | Robert Facer Jensen | Clinical Nurse Specialist | 6071 E Woodmen Rd Ste 105, Colorado Springs, CO 80923-2610 | 2015-10-19 |
| Street Address |
11315 BRIDGEPORT WAY SW |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689672693 | Saint Clare Hospital | General Acute Care Hospital | 11315 Bridgeport Way Sw, Lakewood, WA 98499 | 2005-07-13 |
| 1821644436 | Christopher Ruzyla | Registered Nurse | 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 | 2019-08-11 |
| 1497212104 | Laurie E Hamilton | Social Worker | 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 | 2019-02-28 |
| 1205392339 | Mayling Betania Barrera | Student in an Organized Health Care Education/Training Program | 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 | 2019-02-13 |
| 1437681343 | Connor Houghton | Emergency Medicine | 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 | 2017-03-30 |
| 1659749208 | Lauren Fuglevand | Physician Assistant | 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 | 2015-09-11 |
| 1003208612 | Alexandra Cornwall | Physician Assistant | 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 | 2015-02-19 |
| 1962806133 | Justin Yee | Pharmacist | 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 | 2014-10-17 |
| 1962804351 | Jonathon Franz | Physician Assistant | 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 | 2014-09-17 |
| 1407263817 | Franciscan Health System | General Acute Care Hospital | 11315 Bridgeport Way Sw, Lakewood, WA 98499 | 2014-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992330484 | Usacs Community Emergency Services of Colorado, Inc. | Emergency Medicine | 3280 S Wadsworth Blvd, Lakewood, CO 80227-5002 | 2020-03-05 |
| 1235507724 | Justin Evans | Emergency Medicine | 476 Newland St, Lakewood, CO 80226 | 2015-09-14 |
| 1518376151 | Karthikeyan Muthuswamy | Emergency Medicine | St Clare Hospital Emergency Department, 11315 Bridgeport Way Sw, Lakewood, WA 98499 | 2014-08-07 |
| 1114193513 | Ryan Matthew Klemt | Emergency Medicine | 550 S Wadsworth Blvd Unit 410, Brighton Community Emergency Physicians; C/o Emms, Lakewood, CO 80226-3118 | 2008-05-06 |
| 1255365078 | Charles A Cole | Emergency Medicine | 550 S. Wadsworth Ave, Lakewood, CO 80266-3118 | 2006-07-10 |
| 1881622074 | Hillel Peltz | Emergency Medicine | 940 Somerset Ave, Lakewood, NJ 08701-2130 | 2006-06-28 |
| 1578507042 | Carmen James Corrall II | Emergency Medicine | 5700 100th St Sw Ste 510, Lakewood, WA 98499-2767 | 2006-06-15 |
| 1659315307 | William Dalsey | Emergency Medicine | Kimball Medical Center (emergency Department), 600 River Avenue, Lakewood, NJ 08701 | 2006-06-15 |
| 1427099027 | Richard Arnold Nelson | Emergency Medicine | 14519 Detroit Avenue, Lakewood, OH 44107-4316 | 2006-06-08 |
| 1457301897 | Charles E Goodell | Emergency Medicine | 14062 Denver West Pkwy, Ste 150, Lakewood, CO 80401-3109 | 2006-05-10 |
| Find all providers in LAKEWOOD | ||||
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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.