DR. GORDON CHARLES JENSEN (NPI# 1568788214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568788214 |
| Entity Type | Individual |
| Full Name | DR. GORDON CHARLES JENSEN |
| Credential | MD |
| Practice Address |
922 Baxter Dr Suit 110 South Jordan UT 84095-8613 |
| Practice Telephone | 8019169099 |
| Mailing Telephone | 8019169099 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 47925341205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518294966 | Gordon Duff Jensen | Psychiatry & Neurology | 91-521a Hapalua St, Ewa Beach, HI 96706-2929 | 2009-11-05 |
| 1629177068 | Gordon L. Jensen | Internal Medicine | 111 Colchester Avenue, Uvm Medical Center, Dept. of Medicine, Burlington, VT 05401 | 2006-09-22 |
| Street Address |
922 BAXTER DR SUIT 110 |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-8613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801127634 | Wasatch View Eye and Laser Clinic LLC | Optometrist | 922 Baxter Dr, 110, South Jordan, UT 84095-8613 | 2010-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508052234 | Douglas S. Mehr, M.d., P.C. | Ophthalmology | 9643 Channing Dr, South Jordan, UT 84095-2818 | 2007-09-17 |
| 1689997165 | Davis Vision Center Associates Pllc | Ophthalmology | 1325 W South Jordan Pkwy, Suite 103, South Jordan, UT 84095-9060 | 2010-03-11 |
| 1215947023 | Davis Vision Center | Ophthalmology | 1325 W South Jordan Pkwy, Suite 103, South Jordan, UT 84095-9060 | 2006-08-08 |
| 1679583470 | Brian R Davis | Ophthalmology | 1325 W South Jordan Pkwy, Suite 103, South Jordan, UT 84095-9060 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609421403 | Monika Fleckenstein | Ophthalmology | 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 | 2019-08-08 |
| 1679088041 | Steven R Young Md PC | Ophthalmology | 1300 N 500 E Ste 220, Logan, UT 84341-2472 | 2017-12-07 |
| 1568815082 | Anastasia Neufeld | Ophthalmology | 65 Mario Capecchi Drive, Salt Lake City, UT 84132 | 2016-07-20 |
| 1699126680 | Judd Michael Cahoon | Ophthalmology | 3281 E Santa Rosa Ave, Salt Lake City, UT 84109-4128 | 2016-06-30 |
| 1851740658 | Phillip Nathan Hale | Ophthalmology | 9215 E 500 S, Huntsville, UT 84317-9749 | 2016-06-13 |
| 1023471901 | David R Griffin | Ophthalmology | 1972 W Grove Pkwy, Ste 300, Pleasant Grove, UT 84062-8406 | 2016-03-30 |
| 1356706469 | John Christian Nelson | Ophthalmology | 3449 South 4155 West, Salt Lake City, UT 84109-2468 | 2015-12-17 |
| 1245625946 | Daniel Rubinstein | Ophthalmology | 9350 S 150 E Ste 400, Sandy, UT 84070-2773 | 2015-03-31 |
| 1750791182 | Kevin Kirk | Ophthalmology | 380 E 800 N, Richfield, UT 84701-1913 | 2014-05-07 |
| 1235496357 | Jack Dunyon Stringham II | Ophthalmology | 1055 N 300 W Ste 210, Provo, UT 84604-3374 | 2012-04-13 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH JORDAN |
| Zip Code | 84095 |
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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.