PAUL W JANSEN (NPI# 1396830881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396830881 |
| Entity Type | Individual |
| Full Name | PAUL W JANSEN |
| Credential | MD |
| Practice Address |
190 E Bannock St Boise ID 83712-6241 |
| Practice Telephone | 2083812900 |
| Practice Fax Number | 2083813255 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
M-8574 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902998602 | Paul Thomas Jansen | Dentist | 710 Averitt Road, Greenwood, IN 46143 | 2006-09-29 |
| 1215097548 | Paul Edward Jansen | Psychologist | 11 Vanderbilt Ave, Suite 240, Norwood, MA 02062-5056 | 2006-12-08 |
| Street Address |
190 E BANNOCK ST |
| City | BOISE |
| State | ID |
| Zip Code | 83712-6241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586794 | St Lukes Regional Medical Center | Pharmacy | 190 E Bannock St, Boise, ID 83712-6241 | 2005-05-23 |
| 1275133944 | St Lukes Health System Ltd | General Acute Care Hospital | 190 E Bannock St, Boise, ID 83712-6241 | 2020-10-30 |
| 1750980017 | Andrea Johnson Murray | Pharmacy Technician | 190 E Bannock St, Boise, ID 83712-6241 | 2020-10-19 |
| 1679180103 | Katie Marie Pond | Social Worker | 190 E Bannock St, Boise, ID 83712-6241 | 2020-09-29 |
| 1780297762 | Alexandria Marie Schultz | Pharmacist | 190 E Bannock St, Boise, ID 83712-6241 | 2020-08-28 |
| 1225640048 | Tania Michelle Villanueva-sanchez | Pharmacist | 190 E Bannock St, Boise, ID 83712-6241 | 2020-08-21 |
| 1154931426 | Brittany Nichole Galop | Pharmacist | 190 E Bannock St, Boise, ID 83712-6241 | 2020-08-03 |
| 1558970046 | Emily Michelle Bush | Pharmacist | 190 E Bannock St, Boise, ID 83712-6241 | 2020-07-30 |
| 1699393447 | Chadd Miller Ramos | Pharmacist | 190 E Bannock St, Boise, ID 83712-6241 | 2020-07-08 |
| 1740819127 | Lindzee Searle | Pharmacy Technician | 190 E Bannock St, Boise, ID 83712-6241 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477016012 | Veranda At Barber Station LLC | Assisted Living Facility | 3266 E. Barber Valley Drive, Boise, ID 83712 | 2019-04-10 |
| 1891258612 | Mary Elizabeth Riedel | Occupational Therapist | 190 E Bancock St., Boise, ID 83712 | 2019-04-09 |
| 1427523968 | Q17 Health Partners LLC | Surgery | 100 East Idaho Street #317, Boise, ID 83712 | 2018-10-11 |
| 1053898247 | Travis Dale Worwood | Social Worker | South Entrance, 1075 E. Park Blvd, Boise, ID 83712 | 2018-07-20 |
| 1689166761 | Kristen Nicole Ray | Social Worker | 109 E Bannock St, Boise, ID 83712 | 2018-06-04 |
| 1740706894 | Meghan Heitstuman | Social Worker | 190 E Bannock Street, Boise, ID 83712 | 2017-08-21 |
| 1942759725 | Kay Craig | Physical Therapist | 190 Bannock, Boise, ID 83712 | 2016-09-22 |
| 1235686395 | Sharon Bjornson | Physical Therapist | 190 East Bannack, Boise, ID 83712 | 2016-09-07 |
| 1033576491 | Heather Hussey | Genetic Counselor, MS | 100 E Idaho Street, Msti Genetics, Boise, ID 83712 | 2016-01-15 |
| 1295139137 | Amie Bartholomeus | Massage Therapist | 100 East Idaho Street, St Luke's Mountain States Tumor Institute, Boise, ID 83712 | 2014-10-21 |
| Find all providers in zip 83712 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457446007 | David W Christensen | Pediatrics | 190 E. Bancock Street, Boise, ID 83712 | 2006-10-03 |
| 1558567107 | Derrick Dauplaise | Pediatrics | 190 E Bannock St, Boise, ID 83712-6241 | 2007-06-21 |
| 1073608378 | Picu Associates, LLC | Pediatrics | 190 E Bannock St, Boise, ID 83712-6241 | 2006-10-03 |
Please comment or provide details below to improve the information on PAUL W JANSEN.
| 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.