Individual provider Active NPI

William A Jenkins, MD

  • Emergency Medicine Physician
  • Circleville, OH
National Provider Identifier
1124100490
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35087531 Issued in OH
Practice address
600 N Pickaway St
Circleville, OH 43113-2409
Phone
(740) 474-2126
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35087531 OH Primary

Addresses

Primary practice location

600 N Pickaway St
Circleville, OH 43113-2409

Mailing address

4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136

Other identifiers 3

IdentifierTypeStateIssuer
000000510344OtherOHBCBS
000000545419OtherOHBCBS
2718250MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20070320000174 OH Practitioner - Emergency Medicine 5991808545 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35087531OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Ohio Emergency Services, LLC Emergency Medicine CurrentSince Jul 1, 2012 Accepting new patients
Marion Physician Billing LLC Emergency Medicine Past Accepting new patients
Marion General Hospital Foundation, Inc. Emergency Medicine Past Accepting new patients
Circleville Emergency Physicians Inc. Emergency Medicine Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

625 W Waterloo St
Canal Winchester, OH 43110
Phone (614) 355-3400

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

7500 Hospital Dr
Dublin, OH 43016
Phone (614) 544-8000

1010 Refugee Rd
Pickerington, OH 43147
Phone (614) 587-7601

4141 N Hampton Dr
Powell, OH 43065
Phone (614) 788-9340

260 Polaris Pkwy
Westerville, OH 43082
Phone (614) 533-3470

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1124100490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "800-875-0136",
            "fax_number": "937-619-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N PICKAWAY ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431132409",
            "telephone_number": "740-474-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35087531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000510344",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000545419",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2718250",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

Verify at the official NPI Registry.