DR. ERIC R JENSEN (NPI# 1407883986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407883986 |
Entity Type | Individual |
Full Name | DR. ERIC R JENSEN |
Credential | MD |
Practice Address |
2100 Clinch Ave Ste 430 Knoxville TN 37916-2290 |
Mailing Address |
Po Box 15004 Knoxville TN 37901-5004 |
Practice Telephone | 8655412131 |
Practice Fax Number | 8778210891 |
Mailing Telephone | 8655412131 |
Mailing Fax Number | 8778210891 |
Enumeration Date | 2006-06-28 |
Last Update Date | 2019-11-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
MD41046 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | BCBS | 4316521 | 01 |
TN | 3062658 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
207 E Emory Rd, Powell, TN 378494047 | 8655412131 | 8778210891 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871922666 | Eric James Jensen | Registered Nurse | 8092 W Paradise Ln Apt 1001, Peoria, AZ 85382-4977 | 2013-11-02 |
1639312150 | Eric Jensen | Chiropractor | 6603 Queen Ave S Ste 3, Richfield, MN 55423-2075 | 2009-04-14 |
1770526857 | Eric Hans Jensen | Surgery | 420 Delaware St Se, Mmc 195, University of Minnesota Phycians, Minneapolis, MN 55455 | 2006-06-14 |
1114573540 | Eric Richard Jensen | Case Manager/Care Coordinator | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2019-08-12 |
1306401583 | Eric Andrew Jensen | Nurse Anesthetist, Certified Registered | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2019-05-03 |
1437531936 | Eric Jensen | Family Medicine | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2015-06-22 |
1346620812 | Eric Jensen | Dentist | 13713 Linden Dr, Spring Hill, FL 34609-5023 | 2015-06-01 |
1174894885 | Eric Jensen | Counselor | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2012-01-26 |
1558645242 | Eric J Jensen | Pharmacist | 5785 N 1st St, Fresno, CA 93710-6203 | 2011-09-29 |
1235260548 | Eric Jensen | Rehabilitation Practitioner | 625 Fair Oaks Ave, Suite 300, South Pasadena, CA 91030-2630 | 2007-03-08 |
Street Address |
2100 CLINCH AVE STE 430 |
City | KNOXVILLE |
State | TN |
Zip Code | 37916-2290 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588645774 | William Glaze Vaughan | Surgery | 2100 Clinch Ave Ste 430, Knoxville, TN 37916-2290 | 2005-11-07 |
1720619117 | Christina Lynn Curry | Physician Assistant | 2100 Clinch Ave Ste 430, Knoxville, TN 37916-2290 | 2020-02-04 |
1639254972 | East Tennessee Children's Hospital Association, Inc. | Physician Assistant | 2100 Clinch Ave Ste 430, Knoxville, TN 37916-2290 | 2006-10-26 |
1942238175 | Matthew Michael Greiner | Physician Assistant | 2100 Clinch Ave Ste 430, Knoxville, TN 37916 | 2006-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477151322 | Chelsea Raye Tanner | Registered Nurse | American Anesthesiology of Tennessee, 501 20th Street, Suite 606, Knoxville, TN 37916 | 2020-10-13 |
1003473372 | Mary Katrina Quist Rouse | Nurse Practitioner | 2100 Clinch Ave Ste 330, Knoxville, TN 37916 | 2019-05-22 |
1457881724 | Leslie Lynette Taylor | Physical Medicine & Rehabilitation | 2120 Highland Avenue, Knoxville, TN 37916 | 2017-06-19 |
1235547423 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2429 University Commons Way, Knoxville, TN 37916 | 2014-07-31 |
1801182340 | Jessica Lee Sheah | Psychiatry & Neurology | 2100 W Clinch Avenue, Suite 210, Knoxville, TN 37916 | 2011-06-23 |
1326203548 | Bradley Jason Davis | Internal Medicine | 1819 Clinch Ave Ste 114, Knoxville, TN 37916 | 2008-07-28 |
1003012782 | East Tennessee Children's Hospital Association, Inc | Clinic/Center | 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 | 2007-06-21 |
1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
1699825984 | Orthodontic Design By Michael Sawaf | Dentist | 2220 White Ave, Knoxville, TN 37916 | 2007-01-11 |
1427115096 | Deborah Lynne Maples | Physical Therapy Assistant | Nhc Ft Sanders 2120 Highland Ave, Knoxville, TN 37916 | 2007-01-03 |
Find all providers in zip 37916 |
Taxonomy Code | 2086S0120X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Pediatric Surgery |
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932131901 | Carlos A Angel | Surgery | 2100 Clinch Ave Suite 430, Knoxville, TN 37916 | 2006-07-07 |
1669432761 | Carol L Fowler | Surgery | 2100 Clinch Ave, Ste 430, Knoxville, TN 37916 | 2006-03-24 |
1588645774 | William Glaze Vaughan | Surgery | 2100 Clinch Ave Ste 430, Knoxville, TN 37916-2290 | 2005-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902993025 | Stephen Eric Morrow | Surgery | 330 23rd Ave N Ste 350, Nashville, TN 37203-1650 | 2006-10-09 |
1407950934 | Horace Norman Noe | Surgery | 770 Estate Pl, Memphis, TN 38120-0600 | 2006-09-13 |
1558315861 | Martin L. Blakely | Surgery | 7102 Doctors Office Tower, 2200 Children's Way, Nashville, TN 37232-0001 | 2006-05-20 |
1437110004 | Brad A Feltis | Surgery | 325 N State of Franklin Rd Fl 3, Johnson City, TN 37604-6171 | 2006-03-31 |
1861810319 | Israel Fernandez-pineda | Surgery | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2014-04-02 |
1558619213 | Abdelhafeez H Abdelhafeez | Surgery | 262 Danny Thomas Pl, Memphis, TN 38105 | 2012-08-28 |
1336403021 | Hong Pheng Amos Loh | Surgery | 262 Danny Thomas Pl, Department of Surgery, Memphis, TN 38105-3678 | 2012-06-27 |
1134363518 | Jeremy Gabriel Fisher | Surgery | 979 E 3rd St Ste 300, Chattanooga, TN 37403-2187 | 2009-04-28 |
1437319621 | Mark A Williams M D Pllc | Surgery | 770 Estate Pl, Memphis, TN 38120-0600 | 2008-06-11 |
1659531861 | Lindsay Jones Talbot | Surgery | 262 Danny Thomas Pl # Ms 515, Memphis, TN 38105 | 2008-06-11 |
Find all providers with the same taxonomy |
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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.