DR. ANDREW O JENSEN (NPI# 1285025478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285025478 |
| Entity Type | Individual |
| Full Name | DR. ANDREW O JENSEN |
| Credential | DO |
| Practice Address |
1501 Ne Medical Center Dr Bend OR 97701-6051 |
| Practice Telephone | 5413822811 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2019-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | DO192668 | OR | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | OS14107 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | FL | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | LICENSE | DO192668 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7031 Sw 62nd Ave, South Miami, FL 331434701 | 3052847761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578081022 | Andrew Willaim Jensen | Durable Medical Equipment & Medical Supplies | 1400 Camino De La Reina Ste 110, San Diego, CA 92108-1512 | 2017-09-05 |
| 1972921005 | Andrew Jensen | Family Medicine | 12 B Ave, Zuni, NM 87327 | 2014-04-05 |
| 1417392689 | Andrew Robert Jensen | Orthopaedic Surgery | 1225 15th St Ste 2100, Santa Monica, CA 90404-1101 | 2013-05-01 |
| 1982611778 | Andrew Jensen | Chiropractor | 921 S Orchard St, Suite C, Boise, ID 83705-1930 | 2006-08-02 |
| 1043847643 | Andrew Jensen | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, Houston, TX 77030-3411 | 2020-03-24 |
| 1598302044 | Andrew Eric Jensen | Behavior Technician | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2019-12-03 |
| 1245610633 | Andrew Jensen | Hospitalist | 6401 France Ave S, Edina, MN 55435-2104 | 2015-06-01 |
| 1831442235 | Andrew Jensen | Nurse Anesthetist, Certified Registered | 1700 Sw 7th St, Topeka, KS 66606-2489 | 2012-10-23 |
| 1427188218 | Andrew Joshua Jensen | Optometrist | 9080 Kimberly Blvd, Ste #11, Boca Raton, FL 33434-2862 | 2007-03-07 |
| 1588611651 | Andrew Lee Jensen | Counselor | 1910 S Virginia St, Suite 200, Hopkinsville, KY 42240-3692 | 2006-05-27 |
| Street Address |
1501 NE MEDICAL CENTER DR |
| City | BEND |
| State | OR |
| Zip Code | 97701-6051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455386 | William Gert Schmidt Jr. | Internal Medicine | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2005-05-24 |
| 1871194340 | Jayna Rupley | Physician Assistant | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2020-11-02 |
| 1649882671 | David Gregory Downing | Psychologist | 1501 Ne Medical Center Dr, Bend, OR 97701-6099 | 2020-08-20 |
| 1972144913 | Bend Memorial Clinic PC | Clinical Medical Laboratory | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2019-10-01 |
| 1720547060 | Meredith Anne Helfrich | Physician Assistant | 1501 Ne Medical Center Dr, Bend, OR 97701-6099 | 2019-03-17 |
| 1659813392 | Medford Radiological Group PC | Radiology | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2016-11-11 |
| 1578921003 | Elysia Churchman | Physician Assistant | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2016-01-28 |
| 1457748196 | Timothy M Preston | Hospitalist | 1501 Ne Medical Center Dr, Bend, OR 97701 | 2015-04-21 |
| 1518379080 | Devon Hutton | Family Medicine | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2014-06-02 |
| 1720416118 | Molly Ann Johnson | Physical Therapist | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2013-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417207283 | Karla S Pivik | Dermatology | 2195 Nw Shevlin Park Rd, Suite 100, Bend, OR 97703-7102 | 2012-09-19 |
| 1164545166 | Oliver Jayme Wisco | Dermatology | Dermatology Health Spcecialist, 1693 Sw Chandler Ave Suite 250, Bend, OR 97702-3231 | 2007-04-06 |
| 1891703021 | Gerald E Peters Jr. | Dermatology | 2041 Ne Williamson Ct, Ste B, Bend, OR 97701-3925 | 2006-08-03 |
| 1962431627 | Leslie A. Carter M.d., LLC | Dermatology | 325 Sw Upper Terrace Dr., Suite 100, Bend, OR 97702 | 2006-07-02 |
| 1609815166 | Mark A Hall | Dermatology | 388 Sw Bluff Dr, Bend, OR 97702-1360 | 2006-06-06 |
| 1366492530 | Dawn S. Allison, Md, PC | Dermatology | 1510 Nancy Way, Bend, OR 97702-3215 | 2006-05-11 |
| 1649244393 | Bend Dermatology Clinic LLC | Dermatology | 2747 Ne Conners Ave, Bend, OR 97701-8738 | 2006-02-16 |
| 1730168014 | Leslie Ann Carter | Dermatology | 325 Sw Upper Terrace Dr, Suite 100, Bend, OR 97702-1900 | 2006-01-13 |
| 1396745303 | Jill M Olinger | Dermatology | 815 Sw Bond St, Bend, OR 97702 | 2005-08-01 |
| 1447764741 | Mountain West Derm - Blackhart Pllc | Dermatology | 2747 Ne Conners Ave, Bend, OR 97701-8738 | 2017-11-22 |
| Find all providers in BEND | ||||
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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.