Gary L Jenison, MD, PHD

Primary specialty

SpecialistTaxonomy code 174400000X

License

35069046 Issued in OH

Practice address

80 Star Dr
Chillicothe, OH 45601-9583

Phone

(740) 779-2233

Fax

(740) 779-2234

NPI assigned

Jun 22, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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.

• Gary Jenison MD, PHD

  • Otolaryngology Physician
  • Chillicothe, OH
  • NPI 1154509073
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1073519344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 105",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456010105",
            "telephone_number": "740-779-2233",
            "fax_number": "740-779-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 STAR DR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019583",
            "telephone_number": "740-779-2233",
            "fax_number": "740-779-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENISON",
        "first_name": "GARY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35069046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0231592",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN NUM",
            "identifier": "040010891",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Jeffers, RN,BSN
• Lindsay Jeffers, L.S.W.
• Jeffrey G. Hanes, D.C., Inc.
• Jeffrey K Martin OD
• Jeffrey M Snyder D C Inc
• Jenkins Chiropractic, Inc.
• Pamela Sue Jenkins-Beatty
• Anna Maria Jenkins, DC
• Brian Jefferson Jenkins, DC
• Karen M. Jenkins, M.A., CCC-SLP

• Specialist in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.