Douglas P Jensen, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

11306 Issued in AZ

Practice address

5859 W Talavi Blvd
Suite 100
Glendale, AZ 85306-1869

Phone

(602) 298-7777

Fax

(623) 930-6060

NPI assigned

Sep 21, 2005

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Hospital Development of West Phoenix Inc

  dba Abrazo West Campus

  • Cardiovascular Disease Physician
  • Goodyear, AZ
  • NPI 1013100692
  Medicare reassignment NPD
• VHS of Arrowhead Inc

  dba Abrazo Arrowhead Campus

  • Cardiovascular Disease Physician
  • Glendale, AZ
  • NPI 1326231903
  NPD (past)
• VHS of Phoenix Inc

  dba Abrazo Central Campus

  • Cardiovascular Disease Physician
  • Phoenix, AZ
  • NPI 1659565927
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1073509402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52886",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850722886",
            "telephone_number": "602-298-7777",
            "fax_number": "623-930-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5859 W TALAVI BLVD",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061869",
            "telephone_number": "602-298-7777",
            "fax_number": "623-930-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "DOUGLAS",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "11306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211681",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nepheteria Jenkins
• Jennifer Fineberg DDS PC
• Natalie Jennings
• Jenny Landsberg (Pediatric Therapy Specialists)
• Jensen Moore Chiropractic PLLC (Arizona Family Wellness)
• Kristal M Jensen, ATC, LAT
• Mark Jensen, D.D.S.
• Rebecca Ely Jensen, M.S.,CCC-SLP
• Grace Eunhee Jeong, D.D.S.
• Jerrold K. Altman DMD,PC

• Cardiovascular Disease Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Cardiovascular Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.