Paul George Jenkins, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

17681020 Issued in WI

Practice address

1575 Rivercenter Dr
Ste 104
Milwaukee, WI 53212

Phone

(414) 274-7520

Fax

(414) 274-7525

NPI assigned

Feb 23, 2006

Last updated

Dec 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Milwaukee Kidney Associates SC

  • Nephrology Physician
  • Milwaukee, WI
  • NPI 1366416778
  NPD (past) Authorized official
• Midwest Nephrology Associates, SC

  • Ambulatory Surgical Clinic/Center
  • Milwaukee, WI
  • NPI 1558807131
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1053386862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 RIVERCENTER DR",
            "address_2": "STE 104",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53212",
            "telephone_number": "414-274-7520",
            "fax_number": "414-274-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 RIVERCENTER DR",
            "address_2": "STE 104",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53212",
            "telephone_number": "414-274-7520",
            "fax_number": "414-274-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "PAUL",
        "middle_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "17681020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30916600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darcy S Jenkins-Holick, NP
• John David Jenkins, RPH.
• Lakisha C Jenkins
• Mahasan S Jenkins
• Nicholas Jenkins
• Rickisha Jenkins, RN
• Rita A Jenkins, RN
• Sarah Marie Jenkins
• David M. Jenks, M.D.
• Melissa Ann Jenks, LPC

• Nephrology Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Nephrology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.