Organization Active NPI

Gary Jenison MD, PHD

  • Otolaryngology Physician
  • Chillicothe, OH
National Provider Identifier
1154509073
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35069046 Issued in OH
Legal business name
GARY JENISON MD, PHD
Practice address
80 Star Dr
Chillicothe, OH 45601-9583
Phone
(740) 779-2233
Fax
(740) 779-2234
NPI assigned
Feb 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Virginia W Jenison
Title
Office Manageer
Phone
(740) 779-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 35069046 OH Primary

Addresses

Primary practice location

80 Star Dr
Chillicothe, OH 45601-9583

Mailing address

PO Box 105
Chillicothe, OH 45601-0105
Phone (740) 779-2233

National Provider Directory

National Provider Directory

Locations

80 Star Dr
Chillicothe, OH 45601
Phone (740) 566-4621

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1154509073",
    "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": {
        "organization_name": "GARY JENISON MD, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "JENISON",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OFFICE MANAGEER",
        "authorized_official_telephone_number": "740-779-2233"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35069046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.