JEFFREY J JENKINS (NPI# 1164528204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164528204 |
Entity Type | Individual |
Full Name | JEFFREY J JENKINS |
Credential | MD |
Practice Address |
1300 E Bradford Pkwy Springfield MO 65804-4264 |
Practice Telephone | 4177615000 |
Mailing Telephone | 4177615000 |
Mailing Fax Number | 4177615065 |
Enumeration Date | 2006-09-16 |
Last Update Date | 2019-09-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
R8N52 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 208144220 | 05 | |
MO | 1164528204 | 05 | |
RR MEDICARE | P00294297 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1300 E Bradford Pkwy, Springfield, MO 658044264 | 4177615000 | |
2828 N National Ave, Springfield, MO 658034306 | 4178374665 | 4178754776 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952613739 | Jeffrey Jenkins | Psychologist | 558 County Road 19, Kitts Hill, OH 45645-8624 | 2010-07-08 |
1467599217 | Jeffrey R Jenkins | Surgery | 3257 Professional Dr Ste E, Auburn, CA 95602-2460 | 2007-01-31 |
1134785645 | Jeffrey A Jenkins | Pharmacist | 480 S Main St, Orange, CA 92868-3836 | 2019-05-10 |
1891183968 | Jeffrey Jenkins | Registered Nurse | 66 Hawley St, Binghamton, NY 13901-3833 | 2014-12-24 |
1396189437 | Jeffrey Thomas Jenkins | Internal Medicine | 613 23rd St, Ashland, KY 41101-2878 | 2013-04-19 |
1518247543 | Jeffrey Keith Jenkins I | Counselor | 316 W Main St, Henryetta, OK 74437-4240 | 2011-08-22 |
1851680904 | Jeffrey Dan Jenkins | Pharmacist | 845 Nashville Pike, Gallatin, TN 37066-3103 | 2011-03-29 |
1447564992 | Jeffrey K Jenkins | Nurse Anesthetist, Certified Registered | 1211 Main St, Hartford, KY 42347-1619 | 2010-07-27 |
1710056320 | Jeffrey G. Jenkins | Physical Medicine & Rehabilitation | 545 Ray C Hunt Dr, Charlottesville, VA 22903-2981 | 2006-11-07 |
1003859455 | Jeffrey S Jenkins | Family Medicine | 2000 10th Ave, Suite 200, Columbus, GA 31901-3700 | 2006-06-14 |
Street Address |
1300 E BRADFORD PKWY |
City | SPRINGFIELD |
State | MO |
Zip Code | 65804-4264 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639175912 | Pascha J Boyd | Nurse Practitioner | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2005-06-22 |
1356942338 | Derek Lee Hennigh | Registered Nurse | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-11-05 |
1093316515 | Susan B Nutter | Pharmacist | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-11-02 |
1285234336 | Logan L Comegys | Social Worker | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-10-28 |
1568060192 | Christine M Reinheimer | Case Manager/Care Coordinator | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-10-15 |
1760089288 | Michele Litchy | Counselor | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-10-07 |
1770190092 | Rebecca D Mcgarry | Social Worker | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-09-30 |
1467066159 | Jamie Audsley | Case Manager/Care Coordinator | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-09-01 |
1720692429 | Shamon Williams | Case Manager/Care Coordinator | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-09-01 |
1831702448 | Stephanie M Brodwater | Case Manager/Care Coordinator | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-08-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
Find all providers in zip 65804 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164076683 | Forefront-khatkhate Medical Services PC | Psychiatry & Neurology | 600 S 2nd St Ste 404, Springfield, IL 62704-2542 | 2019-08-01 |
1699043976 | Terry Arthur Travis | Psychiatry & Neurology | 1200 Ravenswood, Na, Springfield, IL 62711-6079 | 2011-12-01 |
1659512184 | Julie A. Warren, Md LLC | Psychiatry & Neurology | 1911 S. National Avenue, Suite 405, Springfield, MO 65804 | 2009-03-12 |
1255577821 | William Basham | Psychiatry & Neurology | 5729 Main St # 330, Springfield, OR 97478-5426 | 2009-01-01 |
1679718043 | Leslie Jeanne Phelps | Psychiatry & Neurology | 1717 E. Primrose St., Apartment B204, Springfield, MO 65804-5413 | 2008-12-12 |
1134302656 | Interlink Behavioral Services, P.C. | Psychiatry & Neurology | 3121 S Terrace Green Ct, Springfield, MO 65804-4555 | 2007-12-06 |
1366621351 | Azra A Farooqui | Psychiatry & Neurology | 7745 Jewelweed Ct, Springfield, VA 22152-3148 | 2007-10-26 |
1093919714 | Lillian Joy Houston | Psychiatry & Neurology | 315 W Carpenter St Dept Of, Springfield, IL 62702-4901 | 2007-06-14 |
1881808145 | Yakhmi Mds | Psychiatry & Neurology | 1505 N Limestone St, Springfield, OH 45503-3317 | 2007-05-09 |
1588784706 | Asad Gobar | Psychiatry & Neurology | 5922 Hall St, Springfield, VA 22152-1401 | 2007-03-30 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 65804 |
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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.