GORDON L. JENSEN (NPI# 1629177068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629177068 |
| Entity Type | Individual |
| Full Name | GORDON L. JENSEN |
| Credential | M.D., PH.D. |
| Practice Address |
111 Colchester Avenue Uvm Medical Center, Dept. of Medicine Burlington VT 05401 |
| Practice Telephone | 8028478865 |
| Practice Fax Number | 8028477082 |
| Mailing Telephone | 8028478865 |
| Mailing Fax Number | 8028477082 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2015-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 042.0013293 | VT | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD041176E | PA | 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 |
| 1568788214 | Gordon Charles Jensen | Ophthalmology | 922 Baxter Dr, Suit 110, South Jordan, UT 84095-8613 | 2010-04-19 |
| Street Address |
111 COLCHESTER AVENUE UVM MEDICAL CENTER, DEPT. OF MEDICINE |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386602639 | Kevin T Carey | Specialist | 111 Colchester Avenue, Cardiology, Burlington, VT 05401 | 2006-05-03 |
| 1215564000 | Solomon Feuerwerker | Surgery | 111 Colchester Avenue, Main Campus, Main Pavilion, Level 5, Burlington, VT 05401-1473 | 2020-03-24 |
| 1316433162 | Pragma Laboni Roy | Student in an Organized Health Care Education/Training Program | 111 Colchester Avenue, Burlington, VT 05401 | 2018-07-05 |
| 1417487273 | Brendan Lawless Thoms | Student in an Organized Health Care Education/Training Program | 111 Colchester Avenue, University of Vermont Medical Center, Burlington, VT 05401 | 2017-06-14 |
| 1235661489 | Mitchell Tarka | Student in an Organized Health Care Education/Training Program | 111 Colchester Avenue, Uvmmc, Burlington, VT 05401 | 2017-03-28 |
| 1811428154 | Katherine Menezes | Student in an Organized Health Care Education/Training Program | 111 Colchester Avenue, Burlington, VT 05401 | 2017-03-27 |
| 1942731229 | Jens Johnson | Student in an Organized Health Care Education/Training Program | 111 Colchester Avenue, Burlington, VT 05401 | 2017-03-27 |
| 1811428709 | Elly Riser | Internal Medicine | 111 Colchester Avenue, Uvmmc, Burlington, VT 05401 | 2017-03-23 |
| 1770014664 | Kayla Dare Corbett | Student in an Organized Health Care Education/Training Program | 111 Colchester Avenue, Uvmmc, Burlington, VT 05401 | 2017-03-23 |
| 1548791726 | Christopher Joseph Wargo | Internal Medicine | 111 Colchester Avenue, University of Vermont Medical Center, Burlington, VT 05401 | 2017-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
| 1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
| 1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
| 1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
| 1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
| 1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
| 1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
| Find all providers in zip 05401 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891226791 | Yao Li | Internal Medicine | Uvmmc 111 Colchester Ave, Burlington, VT 05401 | 2017-03-22 |
| 1689105652 | Louis Bassett Porter | Internal Medicine | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2017-03-22 |
| 1518312388 | Michael Jeffrey Stutzman | Internal Medicine | 111 Colchester Avenue, Fletcher 311, Uvm Medical Center, Dept of Medicine, Burlington, VT 05401 | 2016-04-29 |
| 1316332208 | Vishal Shah | Internal Medicine | 111 Colchester Ave # 311, Department of Medicine The University of Vermont Medica, Burlington, VT 05401 | 2015-03-30 |
| 1356745319 | Louise King | Internal Medicine | 1214 Vaughn Rd # 2800, Burlington, NC 27217-2863 | 2014-10-20 |
| 1689081812 | Jasmit Minhas | Internal Medicine | 9 Kimball Court, Apt 112, Burlington, MA 01803 | 2014-07-21 |
| 1972949949 | Moses Cone Affiliated Physicians, Inc. | Internal Medicine | 1611 Flora Ave, Burlington, NC 27217-1017 | 2013-05-17 |
| 1548502966 | Emily Greenberger | Internal Medicine | 111 Colchester Ave Shepardson 567, Internal Medicine Hospitalist Service, Burlington, VT 05401 | 2013-03-24 |
| 1548523988 | Jessica Lynch | Internal Medicine | 41 Mall Road Department of Palliative Care, Burlington, MA 01805-0001 | 2012-06-20 |
| 1912263864 | Ryan G Seibert | Internal Medicine | 41 Mall Road Lahey Hospital and Medical Ctr, Burlington, MA 01805-1114 | 2012-04-04 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 05401 |
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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.