James E Jenison, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01035567A Issued in IN

Practice address

1202 W Buena Vista Rd
Ste 102
Evansville, IN 47710-5185

Phone

(812) 425-0300

Fax

(812) 428-8400

NPI assigned

Oct 11, 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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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.

• Center for Spine and Sports Medicine LLC

  • Durable Medical Equipment & Medical Supplies
  • Newburgh, IN
  • NPI 1952544926
  NPD (past)
• Evansville Christian Life Center Inc

  • Health Service Clinic/Center
  • Evansville, IN
  • NPI 1689740375
  NPD (past)
• Med 1St of Evansville, PC

  • Physical Therapist
  • Evansville, IN
  • NPI 1881630739
  NPD (past)
• Med 1St of Owensboro

  • Rehabilitation Clinic/Center
  • Owensboro, KY
  • NPI 1306958343
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1174511356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 W BUENA VISTA RD",
            "address_2": "STE 102",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477105185",
            "telephone_number": "812-485-1220",
            "fax_number": "812-485-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W BUENA VISTA RD",
            "address_2": "STE 102",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477105185",
            "telephone_number": "812-425-0300",
            "fax_number": "812-428-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENISON",
        "first_name": "JAMES",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01035567A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100248070A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1578786612",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000637987",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "200859330Q",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ahmed Jawad, MD
• JB Medical Supplies
• Angela Jeffries, PTA
• Jessica L Jeffries, M.D.
• Meghann Jeffries, MSW, LCSW
• Jennifer Odean Jenkins, PT
• Joseph R Jenkins, M.D.
• Kari Jenkins, COTA
• Maritza O Jenkins, DMD
• Crystal Amber Jennings, CFSA

• Internal Medicine Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.