Individual provider Active NPI

Steven Arnold Jenison, M.D.

  • Infectious Disease Physician
  • Santa Fe, NM
National Provider Identifier
1093928665
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
91-226 Issued in NM
Practice address
1190 S Saint Francis Dr
Runnels Building S1150
Santa Fe, NM 87505-4173
Phone
(505) 476-3668
Fax
(505) 827-0163
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 91-226 NM Primary

Addresses

Primary practice location

1190 S Saint Francis Dr
Runnels Building S1150
Santa Fe, NM 87505-4173

Mailing address

513 Plaza Balentine
Santa Fe, NM 87501-2741
Phone (505) 988-4583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
91-226NMMDInfectious Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093928665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 PLAZA BALENTINE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012741",
            "telephone_number": "505-988-4583",
            "fax_number": "505-827-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 S SAINT FRANCIS DR",
            "address_2": "RUNNELS BUILDING S1150",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054173",
            "telephone_number": "505-476-3668",
            "fax_number": "505-827-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENISON",
        "first_name": "STEVEN",
        "middle_name": "ARNOLD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NM",
            "license": "91-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.