EWIN B JENKINS (NPI# 1417029042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417029042 |
| Entity Type | Individual |
| Full Name | EWIN B JENKINS |
| Credential | M.D. |
| Practice Address |
1103 16th Ave Se Decatur AL 35601-3595 |
| Practice Telephone | 2563500362 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 00006964 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUECROSS BLUESHIELD OF A | 51003218 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699099150 | Ewin Shawn Jenkins | Social Worker | 5707 N 22nd St, Tampa, FL 33610-4350 | 2010-03-26 |
| Street Address |
1103 16TH AVE SE |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-3595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104904903 | Phillip Shannon Farris | Physician Assistant | 1103 16th Ave Se, Decatur, AL 35601-3595 | 2006-11-01 |
| 1962036665 | Krista Butts | Nurse Practitioner | 1103 16th Ave Se, Decatur, AL 35601-3595 | 2020-03-03 |
| 1295240588 | Eric Todd Smith | Technician/Technologist | 1103 16th Ave Se, Decatur, AL 35601-3595 | 2017-12-07 |
| 1679095699 | Jeremy Keith Urban | Nurse Practitioner | 1103 16th Ave Se, Decatur, AL 35601 | 2017-07-11 |
| 1699169474 | Nicholas Krishnan | Physician Assistant | 1103 16th Ave Se, Decatur, AL 35601-3595 | 2015-03-19 |
| 1841633187 | Justin David Hallock | Orthopaedic Surgery | 1103 16th Ave Se, Decatur, AL 35601-3595 | 2013-04-16 |
| 1073854626 | Meghan Pace Hollimon | Nurse Practitioner | 1103 16th Ave Se, Decatur, AL 35601-3595 | 2013-03-06 |
| 1902045867 | Janice D Draper | Physical Therapist | 1103 16th Ave Se, Decatur, AL 35601-3595 | 2009-02-16 |
| 1215198007 | Justin L Daigre | Specialist | 1103 16th Ave Se, Decatur, AL 35601-3595 | 2008-06-24 |
| 1023234648 | Charles Edward Fortenberry | Nurse Practitioner | 1103 16th Ave Se, Decatur, AL 35601-3595 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| 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 |
|---|---|---|---|---|
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1689964280 | Saif U Zaman | Orthopaedic Surgery | 505 Irvin Ct Ste 200, Decatur, GA 30030-1780 | 2011-04-15 |
| 1740485317 | Georgia Knee & Sports Medicine | Orthopaedic Surgery | 2801 N Decatur Road, Decatur, GA 30033-5949 | 2007-06-15 |
| 1063553741 | Sportsmed Orthopaedic Specialists, P.C. | Orthopaedic Surgery | 2506 Danville Rd Sw Ste 202, Decatur, AL 35603-4232 | 2007-02-08 |
| 1336109867 | Orthopaedics Northeast, PC | Orthopaedic Surgery | 805 High St, Decatur, IN 46733-2324 | 2006-03-27 |
| 1245205020 | Julio Petilon | Orthopaedic Surgery | 2801 N Decatur Rd Ste 200, Decatur, GA 30033 | 2006-02-23 |
| 1437130986 | Fitzgerald Orthopaedics, P.C. | Orthopaedic Surgery | 203 N 12th St, Decatur, IN 46733-1554 | 2005-11-10 |
| 1891782918 | Lawrence A. Bircoll | Orthopaedic Surgery | 487 Winn Way, Suite 100, Decatur, GA 30030-1735 | 2005-10-04 |
| 1073500401 | James B. Madeley | Orthopaedic Surgery | 2680 Lawrenceville Hwy, Suite 100, Decatur, GA 30033-2526 | 2005-09-30 |
| 1811993405 | John C. Kefalas, M.d.,s.c. | Orthopaedic Surgery | 2905 N Main St, Suite G, Decatur, IL 62526-4276 | 2005-06-28 |
| Find all providers in DECATUR | ||||
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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.