KIRK L JENSEN (NPI# 1568553790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568553790 |
| Entity Type | Individual |
| Full Name | KIRK L JENSEN |
| Credential | MD |
| Practice Address |
3717 Mt Diablo Blvd Ste 100 Lafayette CA 94549-3547 |
| Mailing Address |
Po Box 1298 Lafayette CA 94549-1298 |
| Practice Telephone | 9252845300 |
| Practice Fax Number | 9253545381 |
| Mailing Telephone | 9252845300 |
| Mailing Fax Number | 9252845381 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | G68904 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE NUMBER | G68904 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407899594 | Kirk Ernest Jensen | Pediatrics | Walter Reed Army Medical Center, 6900 Georgia Ave, Washington, DC 20307-0001 | 2006-06-14 |
| 1437199361 | Kirk B Jensen | Emergency Medicine | 800 Garfield Ave, Parkersburg, WV 26101-5340 | 2006-06-08 |
| Street Address |
3717 MT DIABLO BLVD STE 100 |
| City | LAFAYETTE |
| State | CA |
| Zip Code | 94549-3547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457398224 | Kenneth M Caldwell | Orthopaedic Surgery | 3717 Mt Diablo Blvd Ste 100, Lafayette, CA 94549-3547 | 2006-06-01 |
| 1114027034 | East Bay Shoulder Clinic and Sports Rehabilitation, Inc | Orthopaedic Surgery | 3717 Mt Diablo Blvd Ste 100, Lafayette, CA 94549-3547 | 2006-09-22 |
| 1891809943 | Kenneth M. Caldwell, Md, A Medical Corporation | Orthopaedic Surgery | 3717 Mt Diablo Blvd Ste 100, Lafayette, CA 94549-3547 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427004 | Veronica Adelaid Valera-averilla | Behavior Technician | 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 | 2020-11-06 |
| 1679128870 | Zong Ning Zhou | Behavior Technician | 3650 Mt.diablo Blvd., Suite 107, Lafayette, CA 94549 | 2019-08-05 |
| 1912551227 | Tamiesha Jackson | Behavior Technician | Ste Consultant, LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2019-07-25 |
| 1528525375 | Tiara Lajai Aubrey | Behavior Technician | 3560 Mt. Diablo Blvd, Suite 107, Layfatte, CA 94549 | 2019-02-28 |
| 1215409990 | Marisa Della Marmolejo | Case Manager/Care Coordinator | Ste Consultants, LLC 3650 Mt Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-12-19 |
| 1235608399 | Andrew Thompson | Behavior Technician | 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-11-19 |
| 1982172953 | Amber Jackson | Behavior Technician | Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-11-08 |
| 1104393396 | Alexis Taper | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-10-26 |
| 1023508793 | Alyssa Savinovich | Behavior Technician | 3560 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-05-17 |
| 1831689140 | Kannambra M Raja | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-05-11 |
| Find all providers in zip 94549 | ||||
| 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 |
|---|---|---|---|---|
| 1962041954 | James R Lafleur | Orthopaedic Surgery | 122 Wembley Rd, Lafayette, LA 70503-3567 | 2019-12-23 |
| 1508285388 | Paul Rodenhouse | Orthopaedic Surgery | 1411 S Creasy Ln Ste 120, Lafayette, IN 47905-7433 | 2014-04-09 |
| 1710230677 | Walter Thomas Gilsdorf | Orthopaedic Surgery | 2026 Skyhigh Rd., Lafayette, NY 13084 | 2012-10-17 |
| 1316210487 | Orthopaedics-indianapolis, Inc. | Orthopaedic Surgery | 2403 Loy Drive, Suite 204, Lafayette, IN 47909-2701 | 2012-02-20 |
| 1194803155 | James Charles Mcdaniel | Orthopaedic Surgery | 309 St Julien Avenue, Suite 300, Lafayette, LA 70506-4655 | 2006-11-01 |
| 1457398224 | Kenneth M Caldwell | Orthopaedic Surgery | 3717 Mt Diablo Blvd Ste 100, Lafayette, CA 94549-3547 | 2006-06-01 |
| 1881641678 | Giles C Floyd | Orthopaedic Surgery | 37 Jennifer Highlands Ct, Lafayette, CA 94549-1739 | 2006-05-28 |
| 1548230048 | Peter D Vizzi | Orthopaedic Surgery | 1301 Camellia Blvd, Suite 102, Lafayette, LA 70508-7089 | 2006-01-25 |
| 1174524839 | Eric Marcus Orenstein | Orthopaedic Surgery | 2600 Ferry St, Lafayette, IN 47904-3055 | 2005-08-03 |
| 1730189580 | Louis Charles Blanda Jr. | Orthopaedic Surgery | 1103 Kaliste Saloom Road, Suite 100, Lafayette, LA 70508-2636 | 2005-07-22 |
| Find all providers in LAFAYETTE | ||||
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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.