MR. KRISTIAN HALE JENSEN (NPI# 1942209184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942209184 |
| Entity Type | Individual |
| Full Name | MR. KRISTIAN HALE JENSEN |
| Credential | PAC |
| Practice Address |
679 E County Line Rd Greenwood IN 46143-1049 |
| Practice Telephone | 3178902000 |
| Practice Fax Number | 3178597220 |
| Mailing Telephone | 3178902000 |
| Mailing Fax Number | 3178594269 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10002986A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 085001335 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 102163 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932487642 | Kristian Ardis Jensen | Pharmacist | 4520 Hard Scrabble Rd, Columbia, SC 29229-8560 | 2011-07-29 |
| Street Address |
679 E COUNTY LINE RD |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143-1049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760021661 | Crystal Hackett | Nurse Practitioner | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2019-12-26 |
| 1285184440 | Urology of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2016-10-11 |
| 1659824175 | Stephanie Lynn Corman | Nurse Practitioner | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2016-08-02 |
| 1548619190 | Alexander John Felt | Physician Assistant | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2016-06-05 |
| 1225485899 | Urology of Indiana, LLC | Obstetrics & Gynecology | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2016-05-24 |
| 1073969457 | Maria Huynh | Nurse Practitioner | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2016-05-04 |
| 1295145159 | Brian Orr | Urology | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2014-04-30 |
| 1376981084 | Teresa A Lain | Nurse Practitioner | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2013-06-05 |
| 1659613818 | Christine Pan | Obstetrics & Gynecology | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2013-03-25 |
| 1033462239 | Jason Ronald Kovac | Urology | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2012-10-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
| Find all providers in zip 46143 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780294306 | Pamela Hanley | Physician Assistant | 4953 Aquaduct Dr, Greenwood, IN 46142-7536 | 2020-08-07 |
| 1245868629 | Alexandra Diez Arguelles | Physician Assistant | 402 Vanhoy Dr, Greenwood, IN 46142-9064 | 2020-03-31 |
| 1740745900 | Megan Dewitt Carson | Physician Assistant | 313 Main St Ste A, Greenwood, SC 29646-2757 | 2019-02-01 |
| 1982119699 | Patrick Quinn Dooling | Physician Assistant | 555 E County Line Rd Ste 202, Greenwood, IN 46143-1063 | 2017-12-05 |
| 1083040455 | Megan Eliza Wheeler | Physician Assistant | 501 Epting Ave, Greenwood, SC 29646-4091 | 2013-09-17 |
| 1134442890 | Self Medical Group | Physician Assistant | 115 Academy Avenue, Unit A, Greenwood, SC 29646 | 2010-03-10 |
| 1902025109 | Richard David Shults | Physician Assistant | 1300 Innovation Pkwy, Greenwood, IN 46143-3625 | 2007-04-25 |
| 1699820530 | Erin Nikou | Physician Assistant | 700 Us 31 South, Greenwood, IN 46143-2401 | 2007-01-23 |
| 1437264900 | Scott A Brown | Physician Assistant | 102 W Cannery St, Greenwood, WI 54437 | 2006-08-21 |
| 1467490276 | Penny R Streby | Physician Assistant | 105 Vinecrest Ct # 500, Greenwood, SC 29646-8031 | 2006-06-03 |
| Find all providers in GREENWOOD | ||||
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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.