JENNIFER L ENSMINGER (NPI# 1184600108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184600108 |
| Entity Type | Individual |
| Full Name | JENNIFER L ENSMINGER |
| Credential | M.D. |
| Practice Address |
6283 Clark Rd Suite #10 Paradise CA 95969-4100 |
| Mailing Address |
6283 Clark Rd Suite 10 Paradise CA 95969-4100 |
| Practice Telephone | 5308772020 |
| Practice Fax Number | 5308774641 |
| Mailing Telephone | 5308772020 |
| Mailing Fax Number | 5308774641 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2017-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | A102699 | CA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 47903 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICARE RAILROAD | P00448265 | 01 |
| MN | 107643400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933612 | Jennifer Ensminger | Social Worker | 304 N Jefferson Ave, Iola, KS 66749-2327 | 2019-06-30 |
| 1144715608 | Jennifer Ensminger | Physician Assistant | 22 St Paul Dr Ste 201, Chambersburg, PA 17201-1036 | 2018-06-27 |
| Street Address |
6283 CLARK RD SUITE #10 |
| City | PARADISE |
| State | CA |
| Zip Code | 95969-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285636308 | Brock Cummings | Orthopaedic Surgery | 6283 Clark Rd, Ste 15, Paradise, CA 95969-4100 | 2005-06-01 |
| 1245765924 | Paradise Surgery Center | Clinic/Center | 6283 Clark Rd, Suite 11, Paradise, CA 95969-4100 | 2017-05-01 |
| 1972816601 | Dawn M Abel | Nurse Practitioner | 6283 Clark Rd, Suite 5, Paradise, CA 95969-4100 | 2010-07-22 |
| 1992036750 | Per A Dovre Md Inc | Obstetrics & Gynecology | 6283 Clark Rd, Suite 8, Paradise, CA 95969-4100 | 2010-01-19 |
| 1164536017 | Dean Alan Hadley | Urology | 6283 Clark Rd, Ste 3, Paradise, CA 95969 | 2006-08-18 |
| 1073536215 | David J Gajda, Md, A Professional Corporation | Clinic/Center | 6283 Clark Rd, #11, Paradise, CA 95969-4100 | 2006-07-26 |
| 1285656280 | Jerome Wh Niswonger | Ophthalmology | 6283 Clark Rd, #10, Paradise, CA 95969-4100 | 2006-07-25 |
| 1720001738 | Randall Ray Mcpherran | Optometrist | 6283 Clark Rd, #10, Paradise, CA 95969-4100 | 2006-07-25 |
| 1578584769 | Jerome Wh Niswonger Md Inc | Optometrist | 6283 Clark Rd, #10, Paradise, CA 95969-4100 | 2006-07-22 |
| 1477590453 | North State Radiology Medical Group Inc | Radiology | 6283 Clark Rd, Suite #4, Paradise, CA 95969-4100 | 2006-05-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234559 | Skala Chiropractic Inc | Chiropractor | 4413 Sierra Del Sol, Paradise, CA 95969 | 2019-03-19 |
| 1114463924 | Gary R Watts | Obstetrics & Gynecology | 5016 Lago Vista Way, Paradise, CA 95969 | 2017-01-18 |
| 1013367044 | Leslie Allison Bass | Registered Nurse | 1309 Nunneley Road, Paradise, CA 95969 | 2016-06-21 |
| 1457798977 | Lisa Marie Nelson | Counselor | 5910 Clark Road Suite 179, Paradise, CA 95969 | 2013-05-23 |
| 1700121597 | Ann Mary Sullivan | Marriage & Family Therapist | 955 Elliott Road, Paradise, CA 95969 | 2012-12-05 |
| 1255631693 | Paola Maria Mccarthy | Pharmacist | 6020 Clark Rd, Paradise, CA 95969 | 2010-11-02 |
| 1871821678 | Lisa Alison Franco | Occupational Therapist | 1633 Cypress Ln., Lifehouse/cypress, Paradise, CA 95969 | 2009-12-07 |
| 1700017548 | Michael C Reilly | Occupational Therapy Assistant | 1633 Cypress Lane, Paradise, CA 95969 | 2009-07-28 |
| 1992985899 | James D Salomone | Counselor | 7690 East Rd, Redwood Valley, CA 95969 | 2007-11-07 |
| 1548461619 | Paradise Ultrasound | Radiologic Technologist | 5921 Clark Rd, Ste. C, Paradise, CA 95969 | 2007-05-29 |
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| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104199629 | David J Gajda Md A Professional Corporation | Ophthalmology | 5889 Clark Rd, Paradise, CA 95969-4861 | 2012-02-14 |
| 1396839395 | David Jeffery Gajda | Ophthalmology | 5889 Clark Road, Paradise, CA 95969-4861 | 2006-10-03 |
| 1699798835 | George Jamil Boutros | Ophthalmology | 7068 Skyway, Paradise, CA 95969-3940 | 2006-07-26 |
| 1225038185 | David Jerry Woods | Ophthalmology | 6009 Pentz Rd, Paradise, CA 95969-5542 | 2005-07-21 |
| 1538172424 | Robert B Reeve | Ophthalmology | 6009 Pentz Rd, Paradise, CA 95969-5542 | 2006-08-14 |
| 1285656280 | Jerome Wh Niswonger | Ophthalmology | 6283 Clark Rd, #10, Paradise, CA 95969-4100 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790922 | Paul B Kouyoumjian, Md Inc. | Ophthalmology | 18040 Sherman Way Ste 205, Reseda, CA 91335-4631 | 2020-11-04 |
| 1700496320 | William Thomas Parker | Ophthalmology | 5279 Gaylord Pl, San Diego, CA 92117-1034 | 2020-08-07 |
| 1588274724 | Katerina Kurteeva Md Inc | Ophthalmology | 3140 Bear St Ste 100, Costa Mesa, CA 92626-2964 | 2020-08-03 |
| 1285252502 | Eyecare Specialists Medical Group, Inc | Ophthalmology | 58-471 29 Palms Hwy, Yucca Valley, CA 92284-5818 | 2020-07-13 |
| 1407473754 | Janet K. Kim Md, Inc | Ophthalmology | 903 Crenshaw Blvd Ste 105, Los Angeles, CA 90019-1972 | 2020-07-02 |
| 1699392506 | Desert Ophthalmology Medical Corporation | Ophthalmology | 72650 Fred Waring Dr Ste 109, Palm Desert, CA 92260-5008 | 2020-06-26 |
| 1942821566 | Simon Eyes, Inc. | Ophthalmology | 3260 Beard Rd Ste 5, Napa, CA 94558-3466 | 2020-05-05 |
| 1942821905 | Nathan Abraham Md Vision Professionals Inc | Ophthalmology | 24305 Town Center Dr Ste 160, Valencia, CA 91355-1347 | 2020-04-30 |
| 1720609878 | Don Saul Ellis | Ophthalmology | 343 11th St, Del Mar, CA 92014-2607 | 2020-04-29 |
| 1245851534 | Santa Barbara Eyecare Inc., A Professional Medical Corporation | Ophthalmology | 2946 De La Vina St, Santa Barbara, CA 93105-3310 | 2020-04-28 |
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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.