DR. PAUL RUSSELL JENSEN (NPI# 1528049335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528049335 |
| Entity Type | Individual |
| Full Name | DR. PAUL RUSSELL JENSEN |
| Credential | M.D. |
| Practice Address |
1433 N 1075 W Ste 104 Farmington UT 84025 |
| Mailing Address |
Po Box 25488 Salt Lake City UT 84125-0488 |
| Practice Telephone | 8012981300 |
| Practice Fax Number | 8012966199 |
| Mailing Telephone | 8004753698 |
| Mailing Fax Number | 8012966199 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2019-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
1816521205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100505791 | 05 | |
| UT | RAILROAD MEDICARE | P00651537 | 01 |
| WY | 120827600 | 05 | |
| ID | 807115600 | 05 | |
| AZ | 924432 | 05 | |
| UT | 09899 | 05 | |
| UT | RAILROAD MEDICARE | P00205744 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225657976 | Paul Jensen | Pharmacist | 3301 Floyd Blvd, Sioux City, IA 51108 | 2020-04-13 |
| 1225178700 | Paul M. Jensen | Dentist | 1120 Se 1st St, Lincoln City, OR 97367-2803 | 2007-02-07 |
| 1417013178 | Paul G Jensen | Chiropractor | 196 S Main St, Pleasant Grove, UT 84062-2631 | 2006-12-28 |
| 1891792370 | Paul Scott Jensen | Optometrist | 112 Pelly Ave N, Renton, WA 98057-5713 | 2005-06-30 |
| 1972996296 | Paul Alan Jensen | Pharmacist | 6455 Us Highway 31 N, Williamsburg, MI 49690-9306 | 2015-03-11 |
| 1700124724 | Paul David Jensen | Counselor | 368 Fell St, San Francisco, CA 94102-5144 | 2013-01-25 |
| 1720390255 | Paul Jensen | Pharmacist | 345 Smith Ave N, Pharmacy Department, Saint Paul, MN 55102-2346 | 2010-07-13 |
| 1851617898 | Paul Thomas Jensen | Internal Medicine | 544 S 400 E, St George, UT 84770-3705 | 2010-04-15 |
| 1962560110 | Paul Mark Jensen | Counselor | 315 S 9th St, Suite 15, Lincoln, NE 68508-2247 | 2006-12-04 |
| 1912018649 | Paul J. Jensen | Family Medicine | 321 8th Ave W, Cresco, IA 52136-1064 | 2006-08-31 |
| Street Address |
1433 N 1075 W STE 104 |
| City | FARMINGTON |
| State | UT |
| Zip Code | 84025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629075684 | Steven Brent Lee | Radiology | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2005-07-06 |
| 1508347634 | Mckenzie Elise Stenberg | Physician Assistant | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2018-08-27 |
| 1811416373 | Sierra Marie Hobberstad | Physician Assistant | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2017-09-15 |
| 1255879086 | Treesa Steel Ryan | Physician Assistant | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2017-01-31 |
| 1366883324 | Richard Blair Willis | Radiology | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2013-07-08 |
| 1508116450 | Brandon S Hermansen | Physician Assistant | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2012-09-18 |
| 1770891434 | Stephanie Lynn Lemmon | Physician Assistant | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2010-09-15 |
| 1568774826 | Christopher Ryan Trimble | Radiology | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2010-07-02 |
| 1740411339 | David Vincent Strain | Internal Medicine | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2009-07-31 |
| 1679738744 | Richard Nelson Irion | Radiology | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2008-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522200 | Kim Nguyen | Behavior Technician | 1148 N Wilow Wind Rd Unit 9, Farmington, UT 84025 | 2020-09-14 |
| 1164980181 | Adam Thomas Creer | Nurse Practitioner | 696 N 40 E Apt 2, Farmington, UT 84025 | 2019-03-08 |
| 1881100550 | Lindsay Case | Counselor | 1645 W 1440 N, Farmington, UT 84025 | 2017-12-18 |
| 1447707955 | Joseph Daniel Levie | Chiropractor | 63 N. Main Street, Farmington, UT 84025 | 2016-09-01 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1679931075 | Rhodes Physical Therapy, Inc | Clinic/Center | 722 W. Shepard Lane Suite 105, Farmington, UT 84025 | 2016-02-01 |
| 1760847552 | Polished Holdings, Inc. | Specialist | 491 W. Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-12-21 |
| 1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
| 1588053300 | Onsyte Surgical of Nevada, LLC | Clinic/Center | 1262 S 650 W Suite 1d, Farmington, UT 84025 | 2015-01-16 |
| 1568879872 | Laura Cook | Counselor | 1200 West Red Barn Lane, Farmington, UT 84025 | 2014-07-18 |
| Find all providers in zip 84025 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275987802 | Farmington Imaging Center, LLC | Radiology | 399 Farmington Ave Lowr 1, Farmington, CT 06032-1937 | 2016-04-20 |
| 1538521679 | Focus Point Diagnostics LLC | Radiology | 23337 Orchard Lake Rd, Farmington, MI 48336-3238 | 2016-03-28 |
| 1619103306 | Christopher Michael Garcia | Radiology | 23 Hidden Oak Dr, Farmington, CT 06032-2735 | 2009-06-08 |
| 1992715122 | Kenneth L Miller | Radiology | 1101 W Liberty, Parkland Health Center Dept of Radiology, Farmington, MO 63640 | 2006-08-09 |
| 1497761795 | Medical Diagnostic Services Ltd | Radiology | 657a W Maple, Farmington, NM 87401 | 2006-07-31 |
| 1336182393 | Lynne F Bliss | Radiology | 801 W. Maple, Farmington, NM 87401 | 2006-06-14 |
| 1073507596 | Joseph B Alley | Radiology | 111 Farmington Health Commons, Farmington, ME 04938-6144 | 2005-09-12 |
| 1841284783 | John R Webster | Radiology | 801 W Maple Street, Farmington, NM 87401 | 2005-09-07 |
| 1144222779 | David Ray Dedrickson | Radiology | 1433 N 1075 W, Ste 104, Farmington, UT 84025-2746 | 2005-08-12 |
| 1629075684 | Steven Brent Lee | Radiology | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2005-07-06 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 84025 |
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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.