JEDEDIAH LARS JENSEN (NPI# 1952621872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952621872 |
| Entity Type | Individual |
| Full Name | JEDEDIAH LARS JENSEN |
| Credential | DO |
| Practice Address |
709 Spring Valley Rd Burlington WI 53105-7614 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 2629711900 |
| Mailing Telephone | 4143892233 |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2020-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 5101018776 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
73430 | WI | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
5101018776 | MI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 5101018776 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100100259 | 05 |
| Street Address |
709 SPRING VALLEY RD |
| City | BURLINGTON |
| State | WI |
| Zip Code | 53105-7614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235130782 | Anastasia H Fischer | Psychiatry & Neurology | 709 Spring Valley Rd, Burlington, WI 53105-7614 | 2005-08-09 |
| 1447860077 | Amanda Jo Hartman | Occupational Therapist | 709 Spring Valley Rd, Burlington, WI 53105-7614 | 2020-08-07 |
| 1710510227 | Karli Dorn | Physical Therapist | 709 Spring Valley Rd, Burlington, WI 53105-7614 | 2020-02-13 |
| 1447746896 | Maggie Leonardi | Physician Assistant | 709 Spring Valley Rd, Burlington, WI 53105 | 2018-07-09 |
| 1508308487 | Abigail L Kleg | Physical Therapist | 709 Spring Valley Rd, Burlington, WI 53105 | 2016-11-09 |
| 1942752092 | David Feather | Physical Therapist | 709 Spring Valley Rd, Burlington, WI 53105-7614 | 2016-10-25 |
| 1316498728 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 709 Spring Valley Rd, 1st Floor, Burlington, WI 53105-7614 | 2016-10-20 |
| 1164975074 | Kelsey Krebs | Physical Therapy Assistant | 709 Spring Valley Rd, Burlington, WI 53105-7614 | 2016-07-27 |
| 1205294311 | Kali Frantz | Physical Therapy Assistant | 709 Spring Valley Rd, Burlington, WI 53105-7614 | 2016-02-03 |
| 1902275779 | Megan Lallemont | Physical Therapy Assistant | 709 Spring Valley Rd, Burlington, WI 53105-7614 | 2015-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574288 | Wisconsin Pain Management Specialists, LLC | Pain Medicine | 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 | 2018-07-09 |
| 1952845679 | Jennifer Vozel | Registered Nurse | 40036 Bloomfield Rd, Burlington, WI 53105 | 2016-12-14 |
| 1356884613 | Labadie Family Dentistry, S.c. | Clinic/Center | 5019 Mormon Rd., Burlington, WI 53105 | 2016-11-18 |
| 1043654288 | Maureen Ann Mcnulty | Acupuncturist | 148 East State Street, Suite A, Burlington, WI 53105 | 2013-04-18 |
| 1003166349 | Jessica Robinson | Licensed Practical Nurse | 7656 Highland Ave, Burlington, WI 53105 | 2012-09-13 |
| 1063677334 | Douglas Armin Wild Sr. | Dentist | 2545 Partridge Wds. Ct., Burlington, WI 53105 | 2008-07-25 |
| 1346408945 | William Henry Basil | Dentist | 222 Adams St, Burlington, WI 53105 | 2008-05-30 |
| 1912108689 | Debra Jean Studey Leffelman | Midwife, Lay | 5617 Spring Valley Rd., Burlington, WI 53105 | 2007-05-30 |
| 1215142955 | Michelle Marie Mehring | Licensed Practical Nurse | 541 Kearney Rd, Burlington, WI 53105 | 2007-05-14 |
| 1003982802 | Alan Dean Meike | Chiropractor | 196 W Chestnut Street, Burlington, WI 53105 | 2006-11-27 |
| Find all providers in zip 53105 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| 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 |
|---|---|---|---|---|
| 1902223266 | Andrew Kubinski | Internal Medicine | 1234 Huffman Mill Rd, Burlington, NC 27215-8777 | 2014-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265785372 | Rania Louise Dempsey | Internal Medicine | 405 Genesee St, Delafield, WI 53018-1814 | 2012-10-26 |
| 1811276645 | Michael L Breunig | Internal Medicine | 2501 W Beltline Hwy Ste 601, Madison, WI 53713 | 2011-08-10 |
| 1114205101 | Adnan Zaidi | Internal Medicine | 1640 E Sumner St, Hartford, WI 53027-2684 | 2011-07-26 |
| 1013203546 | Mina Marie Demarco | Internal Medicine | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2011-06-23 |
| 1598081473 | Andrew M Watson | Internal Medicine | 621 Science Dr, Madison, WI 53711-1074 | 2010-04-16 |
| 1467677278 | Douglas Connor | Internal Medicine | 820 E Grant St, Appleton, WI 54911-3483 | 2007-04-16 |
| 1144254780 | Margaret A. Brooks | Internal Medicine | 621 Science Dr, Madison, WI 53711 | 2006-07-10 |
| 1285681593 | Jennifer S Weibel | Internal Medicine | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2006-05-30 |
| 1093784241 | David T Bernhardt | Internal Medicine | 2880 University Ave, Madison, WI 53705 | 2006-03-17 |
| City | BURLINGTON |
| Zip Code | 53105 |
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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.