DR. JACK EDWARD JENSEN (NPI# 1295733285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295733285 |
| Entity Type | Individual |
| Full Name | DR. JACK EDWARD JENSEN |
| Credential | MD |
| Practice Address |
9180 Katy Fwy Suite 200 Houston TX 77055-7454 |
| Mailing Address |
9180 Katy Freeway Ste 200 Houston TX 77055 |
| Practice Telephone | 7139841400 |
| Practice Fax Number | 7139840544 |
| Mailing Telephone | 7139841400 |
| Mailing Fax Number | 7136478090 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2016-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | F1071 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TX LICENSE NUMBER | F1071 | 01 |
| TX | TAX IDENTIFICATION NUMBER | 760281931 | 01 |
| TX | BLUE CROSS BLUE SHIELD | 82376Z | 01 |
| Street Address |
9180 KATY FWY SUITE 200 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77055-7454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594823 | Taha Pharmacy | Pharmacy | 1383 Bunker Hill Rd, 101, Houston, TX 77055 | 2020-10-02 |
| 1134777238 | Cini Thomas | Nurse Practitioner | 9504 Long Point Rd, Suite E, Houston, TX 77055 | 2019-08-31 |
| 1598248056 | Jan Michael Coz | Occupational Therapy Assistant | 1341 Blalock Road, Houston, TX 77055 | 2018-09-11 |
| 1528557881 | The Hospital At I-10 | Special Hospital | 9430 Old Katy Road, Suite 100, Houston, TX 77055 | 2018-05-02 |
| 1508353129 | Amber Clarke | Nurse Practitioner | Westside Physicians Clinic, 1160 Blalock Rd, Houston, TX 77055 | 2018-04-19 |
| 1205338506 | Kelsey Samantha Gold | Registered Nurse | 7605 Wedgewood Lane, Houston, TX 77055 | 2018-03-02 |
| 1255849147 | Tan Minh Nguyen | Physical Therapy Assistant | 1341 Blalock, Houston, TX 77055 | 2018-01-13 |
| 1679097737 | Susan Degner | Social Worker | 1500 N. Post Oak Rd. Suite 150, Houston, TX 77055 | 2017-07-31 |
| 1003336413 | Solange Inzillo | Speech-Language Pathologist | 9757 Pine Lake Drive, #4025, Houston, TX 77055 | 2017-06-27 |
| 1386181618 | Gem Monika Yamon Escamilla | Nurse Practitioner | 8116 Long Point Rd, Houston, TX 77055 | 2017-01-25 |
| Find all providers in zip 77055 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922662212 | Renaxis, Pllc | Orthopaedic Surgery | 4126 Southwest Fwy Ste 1220, Houston, TX 77027-7338 | 2019-04-23 |
| 1740742402 | Otx Care of Tx Iv, LLC | Orthopaedic Surgery | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-02 |
| 1174050926 | Charlie Dee Wilson | Orthopaedic Surgery | 1885 El Paseo St Apt 33212, Houston, TX 77054-3069 | 2017-05-11 |
| 1518326859 | Texas Regional Spine Center, Pa | Orthopaedic Surgery | 9400 Westheimer Rd Ste 4, Houston, TX 77063-3468 | 2016-02-15 |
| 1427426345 | Patricia Faye Beaver | Orthopaedic Surgery | 3317 Amherst St, Houston, TX 77005-3333 | 2015-09-09 |
| 1518386572 | Kenneth B Ford Jr. | Orthopaedic Surgery | 1218 Fountain View Dr, Houston, TX 77057-2204 | 2014-04-07 |
| 1144587924 | Byron Parker York | Orthopaedic Surgery | 2155 Goldsmith St, Houston, TX 77030-1201 | 2012-04-18 |
| 1326323791 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 915 Gessner, Pro. 3, Suite 560, Houston, TX 77024 | 2011-10-18 |
| 1780978775 | James Terrance Carson | Orthopaedic Surgery | 11307 Fm 1960 Rd W Ste 320, Houston, TX 77065 | 2011-06-07 |
| 1831325026 | Eddie Huang | Orthopaedic Surgery | 11914 Astoria Blvd Ste 670, Medical Plaza 1, Houston, TX 77089-6081 | 2009-06-02 |
| Find all providers in HOUSTON | ||||
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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.