MR. DAVID STUART JENCKS (NPI# 1700175635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700175635 |
| Entity Type | Individual |
| Full Name | MR. DAVID STUART JENCKS |
| Practice Address |
820 Bestgate Rd Ste 2a Annapolis MD 21401 |
| Mailing Address |
300 Pasteur Dr Grant S101 Stanford CA 94305-2200 |
| Practice Telephone | 4102242116 |
| Practice Fax Number | 4102242118 |
| Mailing Telephone | 6504984560 |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2018-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
D0084992 | MD | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 820 Bestgate Rd Ste 2a, Annapolis, MD 214013404 | 4102242116 | 4102242118 |
| Street Address |
820 BESTGATE RD STE 2A |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770057721 | Tracy Turner | Family Medicine | 820 Bestgate Rd Ste 2a, Annapolis, MD 21401-3404 | 2019-01-13 |
| 1033682711 | Anneke Langenhoven | Nurse Practitioner | 820 Bestgate Rd Ste 2a, Annapolis, MD 21401-3404 | 2019-01-06 |
| 1649771882 | Sarah Megan Moffett | Nurse Practitioner | 820 Bestgate Rd Ste 2a, Annapolis, MD 21401 | 2018-02-22 |
| 1346650470 | Rishabh Sachdev | Internal Medicine | 820 Bestgate Rd Ste 2a, Annapolis, MD 21401-3404 | 2014-04-29 |
| 1639519887 | Raza Abbas Hasan | Internal Medicine | 820 Bestgate Rd Ste 2a, Annapolis, MD 21401-3404 | 2013-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1326079278 | Mark H Flasar | Internal Medicine | 820 Bestgate Rd, Suite 2a, Annapolis, MD 21401-3404 | 2006-07-06 |
| 1629007489 | Suzanne L. Sankey | Internal Medicine | 820 Bestgate Road, Suite 2a, Annapolis, MD 21401 | 2006-07-02 |
| 1720059843 | Eric Alan Lavery | Internal Medicine | 621 Ridgely Ave Ste 201, Annapolis, MD 21401-1083 | 2006-01-27 |
| 1346650470 | Rishabh Sachdev | Internal Medicine | 820 Bestgate Rd Ste 2a, Annapolis, MD 21401-3404 | 2014-04-29 |
| 1639519887 | Raza Abbas Hasan | Internal Medicine | 820 Bestgate Rd Ste 2a, Annapolis, MD 21401-3404 | 2013-07-02 |
| 1073772976 | Raja Taunk | Internal Medicine | 820 Bestgate Rd, Suite 2a, Annapolis, MD 21401-3404 | 2008-06-05 |
| 1124287461 | Thomas Lloyd Simcox | Internal Medicine | 820 Bestgate Rd, Suite 2a, Annapolis, MD 21401-3404 | 2008-06-02 |
| 1891968046 | Christopher Andrew Olenec | Internal Medicine | 820 Bestgate Rd, Suite 2a, Annapolis, MD 21401-3404 | 2008-04-09 |
| 1316115595 | Barry J Cukor | Internal Medicine | 621 Ridgely Ave, Suite 201, Annapolis, MD 21401-1081 | 2008-02-11 |
| 1770799447 | Kevin Randall Wolov | Internal Medicine | 621 Ridgely Ave, Suite 201, Annapolis, MD 21401-1081 | 2007-05-16 |
| Find all providers in ANNAPOLIS | ||||
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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.