DR. JENNA LYNN SHENK (NPI# 1174819502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174819502 |
| Entity Type | Individual |
| Full Name | DR. JENNA LYNN SHENK |
| Credential | D.O. |
| Practice Address |
3355 Riverbend Dr Ste 240 Springfield OR 97477-8800 |
| Practice Telephone | 5416871712 |
| Practice Fax Number | 5416877943 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2019-06-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | DO188065 | OR | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | OT014451 | PA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | DO188065 | OR | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | OT014451 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
DO188065 | OR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10800 Knights Rd, Philadelphia, PA 191144200 | 2156124000 | 2156124839 |
| Street Address |
3355 RIVERBEND DR STE 240 |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-8800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912118159 | Katsufumi Nishida | Internal Medicine | 3355 Riverbend Dr Ste 240, Springfield, OR 97477-8800 | 2007-05-26 |
| 1578964193 | Chelsea M Eastman | Physician Assistant | 3355 Riverbend Dr Ste 240, Springfield, OR 97477-8800 | 2014-09-15 |
| 1316351950 | Rebecca Milligan | Emergency Medicine | 3355 Riverbend Dr Ste 240, Springfield, OR 97477 | 2014-06-11 |
| 1013203348 | Jaime Erin Fair | Internal Medicine | 3355 Riverbend Dr Ste 240, Springfield, OR 97477-8800 | 2011-06-24 |
| 1497998660 | Vanessa Rae Kizzier-carnahan | Internal Medicine | 3355 Riverbend Dr Ste 240, Springfield, OR 97477-8800 | 2009-04-16 |
| 1396912614 | Diana Franco Hansen | Internal Medicine | 3355 Riverbend Dr Ste 240, Springfield, OR 97477-8800 | 2008-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659313823 | Peter White Jr. | Internal Medicine | 751 N Rutledge St Rm 2100, Springfield, IL 62702-4968 | 2006-06-12 |
| 1558309898 | John R. Carlile | Internal Medicine | 1000 E. Primrose, #200, Springfield, MO 65807-5388 | 2006-06-02 |
| 1134166317 | Moin Ahmed Ranginwala | Internal Medicine | 2029 East High Street, Suite 101, Springfield, OH 45505 | 2006-05-31 |
| 1558311126 | Donald G Gumprecht | Internal Medicine | 543 W Miller St, Springfield, IL 62702-4978 | 2006-05-12 |
| 1083604870 | Chih Ming Chen | Internal Medicine | 2150 Main St, Springfield, MA 01104-3300 | 2005-10-24 |
| 1700275385 | Keivan Shalileh | Internal Medicine | 751 N Rutledge St, Springfield, IL 62702-4968 | 2015-01-20 |
| 1841608890 | Mohammad E Abu Hishmeh | Internal Medicine | 3300 Main Street, 2nd Fl, Suite B, Springfield, MA 01107-1112 | 2014-07-22 |
| 1316353428 | Debdoot Saha | Internal Medicine | 800 E Carpenter St, Springfield, IL 62769 | 2014-07-09 |
| 1528473758 | Ammar Syed | Internal Medicine | 1235 E Cherokee St Rm 194, Springfield, MO 65804-2203 | 2014-06-26 |
| 1710397781 | Olaoluwatomi Kehinde Lamikanra | Internal Medicine | 701 N 1st St, Springfield, IL 62781-0001 | 2014-04-30 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
Please comment or provide details below to improve the information on DR. JENNA LYNN SHENK.
| 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.