KEVIN LEE JENSEN


Address: 743 Old Norcross Rd, Lawrenceville, GA 30046-4317
Phone: 7705131763

KEVIN LEE JENSEN (NPI# 1497855779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497855779
Entity Type Individual
Full Name KEVIN LEE JENSEN
Credential M.D.
Practice Address 743 Old Norcross Rd
Lawrenceville
GA 30046-4317
Practice Telephone 7705131763
Practice Fax Number 7705132199
Mailing Telephone 7705131763
Mailing Fax Number 7705132199
Enumeration Date 2006-09-25
Last Update Date 2014-04-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 28794 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 00435058D 05

Other Providers KEVIN JENSEN

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1942527734 Kevin Scott Jensen Obstetrics & Gynecology 8846 S Redwood Rd Ste 121, West Jordan, UT 84088-9366 2010-05-03
1386739837 Kevin Neal Jensen Otolaryngology 3750 E Country Field Cir Ste B, Wasilla, AK 99654-6659 2006-10-03
1235103680 Kevin Val Jensen Emergency Medicine 780 N 2860 E Ste 201, St George, UT 84790-8706 2006-02-14
1205203585 Kevin Charles Jensen Physician Assistant 975 Ryland St Ste 100, Reno, NV 89502-1669 2015-08-21
1306284211 Kevin Scott Jensen Family Medicine 1601 Owen Dr, Fayetteville, NC 28304-3425 2013-06-13

Office Location

Street Address 743 OLD NORCROSS RD
City LAWRENCEVILLE
State GA
Zip Code 30046-4317

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174078752 Stechison Neurosurgery Atlanta, LLC Neurological Surgery 743 Old Norcross Rd, Lawrenceville, GA 30046-4317 2016-08-24
1497936785 Southern Surgical Associates, PC Surgery 743 Old Norcross Rd, Lawrenceville, GA 30046-4317 2007-11-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063023174 Alpha & Omega Hearing Centers Hearing Instrument Specialist Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 2020-08-12
1285259846 Mesun Health Services, Inc Clinical Nurse Specialist 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 2020-06-10
1215550264 Mesun Health Services, Inc Skilled Nursing Facility 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 2020-05-26
1306499785 Bryan Acosta Chiropractor 471 Scenic Hwy South, Lawrenceville, GA 30046 2019-07-24
1205308616 Belle Lumiere Cosmetics LLC Dermatology 753 Old Norcross Road, Lawrenceville, GA 30046 2018-12-24
1548730179 Alexis Nicole Robinson Nurse Anesthetist, Certified Registered 1000 Medical Center Boulevard, Lawrenceville, GA 30046 2018-11-27
1679060388 Christopher Puckett Student in an Organized Health Care Education/Training Program 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 2018-04-18
1457851255 Advanced Urology Institute of Georgia Urology 501 Crown Point Way, Lawrenceville, GA 30046 2018-02-19
1013447044 Pharmacy Investments of Lawrenceville, LLC Pharmacy 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 2017-06-13
1225577000 Priority Housecalls LLC Clinic/Center 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 2017-02-14
Find all providers in zip 30046

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306239017 Georgia Hill Surgery 631 Professional Dr Ste 470, Lawrenceville, GA 30046-3370 2015-03-05
1992865463 F.enrique Alvarez Md Surgery 123 Franklin Corner Rd Ste 204, Lawrenceville, NJ 08648-2526 2006-12-12
1174583470 Suraj Jose Menachery Surgery 631 Professional Dr Ste 300, Lawrenceville, GA 30046-3371 2006-03-23
1487651386 Wallace Ford Martin Surgery 631 Professional Drive, Suite 300, Lawrenceville, GA 30046-3371 2005-07-07
1679136824 Northside Gwinnett Surgical Associates, LLC Surgery 631 Professional Dr Ste 300, Lawrenceville, GA 30046-3371 2019-04-15
1972918050 Georgia Breast Surgery PC Surgery 631 Professional Dr, Suite 240, Lawrenceville, GA 30046-3367 2014-06-26
1205105731 Jessica Reynolds Surgery 631 Professional Dr Ste 300, Lawrenceville, GA 30046-3371 2011-12-29
1396049383 Gwinnett Surgical Associates, LLP Surgery 631 Professional Dr, Suite 300, Lawrenceville, GA 30046-3367 2011-01-05
1154653590 Dr. Stephen Quill, Md, PC Surgery 771 Old Norcross Rd, Suite 300, Lawrenceville, GA 30046-4386 2010-02-10
1134370711 Luttrell L Toussaint Surgery 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 2008-10-01
Find all providers in LAWRENCEVILLE

Competitor

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City LAWRENCEVILLE
Zip Code 30046

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Dataset Information

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.

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