Jeffery R Jensen, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

D50505 Issued in MD

Practice address

1111 N. Charles St.
Baltimore, MD 21201-5403

Phone

(410) 837-2050

Fax

(410) 837-7793

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Frank W. Gibson, Jr. P.a.

  • Psychologist
  • Baltimore, MD
  • NPI 1063425478
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1063433712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N. CHARLES ST.",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015403",
            "telephone_number": "410-837-2050",
            "fax_number": "410-837-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N. CHARLES ST.",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015403",
            "telephone_number": "410-837-2050",
            "fax_number": "410-837-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "JEFFERY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D50505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132190100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheryl Denise Jennings, MSW, CAC-AD
• Hillary Jenny, MD
• Allan David Jensen, MD
• Allison Jensen, MD
• Colton Jensen
• Katherine Jensen
• Lauren Ashley Jensen
• Shannon Fox Jensen, CRNP - F
• Jenifer Rae Brake Jenshoej, LGSW
• Jordan Jent

• Neurology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Neurology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.